Organization
PARK STREET WOMEN'S CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA M GREGORY M. D. (PRESIDENT)
(727) 347-2489
Entity
Organization
Contact information
Practice address
3801 PARK ST N, SUITE 4, ST PETERSBURG, FL 33709-4078
(727) 347-2489
(727) 343-7815
Mailing address
3801 PARK ST N, SUITE 4, ST PETERSBURG, FL 33709-4078
(727) 347-2489
(727) 343-7815
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0069863
FL
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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