Organization
ECHINACEA MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN DE LARA (AUTHORIZED OFFICIAL)
(305) 423-9580
Entity
Organization
Contact information
Practice address
7901 4TH ST N # 31505, ST PETERSBURG, FL 33702-4305
(305) 423-9580
Mailing address
7901 4TH ST N # 31505, ST PETERSBURG, FL 33702-4305
(305) 423-9580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
02/25/2026
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