Organization
FIFTH AVENUE PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA M PATRANELLA MD (PRESIDENT)
(727) 323-2727
Entity
Organization
Contact information
Practice address
2855 5TH AVE N, ST PETERSBURG, FL 33713-6701
(727) 323-2727
(727) 327-8101
Mailing address
2855 5TH AVE N, ST PETERSBURG, FL 33713-6701
(727) 323-2727
(727) 327-8101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054446900
—
FL
Enumeration date
11/11/2005
Last updated
03/22/2013
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