Pryde, Patricia K

Pryde, Patricia K is an individual health care provider with primary practice located at 1839 Central Ave , St Petersburg FL 33713-8900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pryde, Patricia K can be contacted via phone (727) 322-1054.

Contact Information

Primary practice address
1839 Central Ave St Petersburg FL 33713-8900
Fax: (727) 322-2725
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ARNP2656792 Florida

Profile Details

NPI number 1053305813
LBN Legal business name Pryde, Patricia K
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Aug 24th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053305813 NPPES
Florida MEDICAID 304346100
Florida Other P00113581
Florida Other E7257Y

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