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Pasadena Ent Pa
Specialist in St Petersburg, Florida
NPI 1497776678

Pasadena Ent Pa is a Specialist based in St Petersburg, FL. Pasadena Ent Pa practices in St Petersburg, FL. The NPI Number for Pasadena Ent Pa is 1497776678 and holds a License No. ME82762 (Florida).

The current practice location address for Pasadena Ent Pa is 6827 First Avenue South, St Petersburg, FL and can be reached out via phone at 727-341-0551 and via fax at 727-341-0332.

Location: 6827 First Avenue South, St Petersburg, FL, 33707-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497776678
Provider Name
Pasadena Ent Pa
Credential
Provider Entity Type
Organization
Address
6827 First Avenue South, St Petersburg, FL, 33707-4516
Phone Number
727-341-0551
Fax Number
727-341-0332
Provider Enumeration Date
07/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261879600 05 FL
institution
Provider Business Practice Location Address Details
Address
6827 First Avenue South
City
St Petersburg
State
Florida
Zip
33707-4516
Phone Number
727-341-0551
Fax Number
727-341-0332
person
Provider Business Mailing Address Details
Address
6827 First Avenue South
City
St Petersburg
State
Florida
Zip
33707-4516
Phone Number
727-341-0551
Fax Number
727-341-0332
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME82762 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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