Infectious Disease Consultants Of St. Petersburg, P.A.
LBN: Infectious Disease Consultants Of St. Petersburg, P.A.
Infectious Disease Consultants Of St. Petersburg, P.A. is an health care organization with primary practice located at 4604 29Th St E , Palmetto FL 34221-9793. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty.
Infectious Disease Consultants Of St. Petersburg, P.A. can be contacted via phone (941) 845-4572, or through Holder, Clinton Douglas via phone (941) 845-4572.
Contact Information
Primary practice address
4604 29Th St E
Palmetto FL 34221-9793
Phone: (941) 845-4572
Fax: (941) 845-4572
Website:
Authorized official contact:
Name: Holder, Clinton Douglas Doctor of Medicine (MD)
Phone: (941) 845-4572
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X |
Profile Details
| NPI number | 1982637195 |
|---|---|
| LBN Legal business name | Infectious Disease Consultants Of St. Petersburg, P.A. |
| DBA Doing business as | |
| Authorized official | Holder, Clinton Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Jan 24th, 2014 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982637195 | NPPES |
| Other | 5600211 | GHI | |
| Other | 34252 | GHI | |
| Other | CB6866 | GHI | |
| MEDICAID | 263649200 | GHI |
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