institution
Mountcastle Vein Center Of St Petersburg
General Practice Physician in St Petersburg, Florida
NPI 1619022951

Mountcastle Vein Center Of St Petersburg is a General Practice Physician based in St Petersburg, FL. Mountcastle Vein Center Of St Petersburg practices in St Petersburg, FL. The NPI Number for Mountcastle Vein Center Of St Petersburg is 1619022951 and holds a License No. ME36289 (Florida).

The current practice location address for Mountcastle Vein Center Of St Petersburg is 5901 Sun Blvd, St Petersburg, FL and can be reached out via phone at 727-865-6941 and via fax at 727-864-0929.

Location: 5901 Sun Blvd, St Petersburg, FL, 33715-1166
institution
Provider Profile Details
NPI Number
1619022951
Provider Name
Mountcastle Vein Center Of St Petersburg
Credential
Provider Entity Type
Organization
Address
5901 Sun Blvd, St Petersburg, FL, 33715-1166
Phone Number
727-865-6941
Fax Number
727-864-0929
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3027OT 01 FL MEDICARE
039342800 05 FL
ME36289 01 FL MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
5901 Sun Blvd
City
State
Zip
33715-1166
Phone Number
727-865-6941
Fax Number
727-864-0929
person
Provider Business Mailing Address Details
Address
5901 Sun Blvd
City
State
Zip
33715-1166
Phone Number
727-865-6941
Fax Number
727-864-0929
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME36289 (Florida)
Definition
Definition to come...
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