Organization
ST. PETERSBURG GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY SHUCK D.O. (PROGRAM DIRECTOR)
(727) 344-4795
Entity
Organization
Contact information
Practice address
11850 DOCTOR MARTIN LUTHER KING JR. ST. NORTH, APT 22-312, ST PETERSBURG, FL 33716
(206) 660-5094
Mailing address
11850 DOCTOR MARTIN LUTHER KING JR. ST. NORTH, APT 22-312, ST PETERSBURG, FL 33716
(206) 660-5094
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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