Organization
BIODYNAMIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT PETRONELLI NP (OWNER)
(401) 481-9361
Entity
Organization
Contact information
Practice address
1150 19TH ST N, ST PETERSBURG, FL 33713-5739
(401) 481-9361
Mailing address
5440 8TH AVE N, ST PETERSBURG, FL 33710-6512
(401) 481-9361
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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