Organization
JOHN B. DECOSMO,III, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B DECOSMO DO (PRESIDENT)
(727) 498-6488
Entity
Organization
Contact information
Practice address
4800 4TH ST N, ST PETERSBURG, FL 33703-3817
(727) 498-6488
(727) 362-6772
Mailing address
4800 4TH ST N, ST PETERSBURG, FL 33703-3817
(727) 498-6488
(727) 362-6772
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OS5534
FL
Other
Enumeration date
10/17/2011
Last updated
04/12/2015
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