St.Pete Nurse Practitioner, Llc

LBN: St.Pete Nurse Practitioner, Llc
St.Pete Nurse Practitioner, Llc is an health care organization with primary practice located at 33 4Th St N Ste 202 , Saint Petersburg FL 33701-3806. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. St.Pete Nurse Practitioner, Llc can be contacted via phone (727) 686-8284, or through Caraballo, Jessica via phone (727) 686-8284.

Contact Information

Primary practice address
33 4Th St N Ste 202 Saint Petersburg FL 33701-3806
Phone: (727) 686-8284
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Caraballo, Jessica ARNP
Phone: (727) 686-8284

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1720724297
LBN Legal business name St.Pete Nurse Practitioner, Llc
DBA Doing business as
Authorized official Caraballo, Jessica ARNP
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2022
Last updated May 9th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720724297 NPPES
Florida MEDICAID 1437649100

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