Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A
Pediatric Gastroenterology
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is a St Petersburg, Florida based Pediatric center with medical specialization in
Pediatric Gastroenterology.
It is located at
601 5th St S., Suite #605, St Petersburg, Florida - 33701-4808. They can be contacted on phone at
727-822-4300 and fax number 727-456-1399.
NPI number (Unique professional ID) for Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is
1780787382 which was assigned by NPPES on 07 Sep, 2006 and it was last updated on 18 May, 2011.
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A |
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Business Address:
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 601 5th St S., Suite #605
St Petersburg, FL, 33701-4808
United States |
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| Phone Number : | 727-822-4300 |
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| Fax Number : | 727-456-1399 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780787382 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 07 Sep, 2006 |
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| Last Updated On : | 18 May, 2011 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Danieltheodore Mcclenathan |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 727-822-4300 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A are as mentioned. Primary taxonomy code for Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 254401600 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2901 58th Ave N
St Petersburg, FL, 33714-1326
United States |
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| Phone Number : | 727-822-4300 |
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| Fax Number : | 727-456-1399 |
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Business Location:
Patients can refer following map for directions to
Pediatric Gastroenterology Hepatology & Nutrition Of Fl P A practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.