ST PETERSBURG MEDICAL CENTER LLC NPI 1710260336

NPI Information

  • NPI: 1710260336
  • Provider Name: ST PETERSBURG MEDICAL CENTER LLC
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Organization
  • CLIA Number: 10D2147088
  • Address: 335 31ST SOUTH
    ST. PETERSBURG, FL
    ZIP 33712
  • Phone: (727) 289-7139

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NPI Details

ST PETERSBURG MEDICAL CENTER LLC is a vascular and interventional radiology radiology in St. Petersburg, FL. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. ST PETERSBURG MEDICAL CENTER LLC NPI is 1710260336. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

335 31ST SOUTH
ST. PETERSBURG, FL
ZIP 33712-419
Phone: (727) 289-7139
Fax: (727) 289-7140

The provider's authorized official is Nasser Razack .
The authorized official title is President and has the following contact phone number (727) 289-7139.

The CLIA number assigned to this NPI record is 10D2147088 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2011 and was last updated on 5/17/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyME92656FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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