Organization
CMS ST PETERSBURG
Active
Other names
Florida Department of Health Childrens Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA B KOPP (PROGRAM ADMINISTRATOR)
(813) 396-9798
Entity
Organization
Contact information
Practice address
3251 3RD AVE N, ST PETERSBURGH, FL 33713
(727) 893-2775
(727) 893-1101
Mailing address
3251 3RD AVE N, ST PETERSBURGH, FL 33713
(727) 893-2775
(727) 893-1101
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
FL
Other
Enumeration date
02/07/2006
Last updated
08/22/2020
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