Organization
PINELLAS PHYSIATRY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS E FREEMAN (MANAGER)
(727) 327-2600
Entity
Organization
Contact information
Practice address
4400 140TH AVE N, SUITE 110, CLEARWATER, FL 33762-3832
(727) 327-2600
(727) 327-2644
Mailing address
PO BOX 100267, ATLANTA, GA 30384-0267
(727) 327-2600
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477097
UNITED HEALTHCARE
FL
05
—
252977700
—
FL
01
—
2557884
AETNA
FL
Enumeration date
01/16/2007
Last updated
07/30/2012
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