Individual
LAURA L DRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243
(727) 767-8612
Mailing address
501 6TH AVE S, BOX 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS10565
FL
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
OS10565
FL
208M00000X
Hospitalist Physician
OS10565
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000964300
—
FL
01
—
1456W
BLUE CROSS/BLUE SHIELD OF FLORIDA
FL
01
—
2986311
CIGNA
FL
01
—
328868
AVMED
FL
01
—
510656
STAYWELL/HEALTHEASE
FL
01
—
9183364
AETNA
FL
Enumeration date
10/15/2007
Last updated
04/22/2021
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