Organization
ST ANTHONY'S PRIMARY CARE LLC
Active
Parent organization
ST ANTHONY'S PRIMARY CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST ANTHONY'S PRIMARY CARE LLC
Authorized official
DR. TERESA BRADLEY MD (PRESIDENT)
(727) 532-1355
Entity
Organization
Contact information
Practice address
116 1ST ST N, ST PETERSBURG, FL 33701-3305
(727) 895-5210
(727) 821-4297
Mailing address
PO BOX 1830, CLEARWATER, FL 33757-1830
(727) 532-0002
(727) 532-1318
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
ME89948
FL
Other
Enumeration date
06/06/2008
Last updated
07/03/2008
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