Organization
INFORMEDDNA MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SUTPHEN MD (CHIEF MEDICAL OFFICER)
(800) 975-4819
Entity
Organization
Contact information
Practice address
111 2ND AVE. NE SUITE 700, ST. PETERSBURG, FL 33701-3441
(800) 975-4819
(760) 203-1194
Mailing address
111 2ND AVE. NE SUITE 700, ST. PETERSBURG, FL 33701-3441
(800) 975-4819
(760) 203-1194
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
07/10/2023
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