SC PHYSICIANS LLC (NPI# 1811295454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811295454 |
Entity Type | Organization |
Organization Name | SC PHYSICIANS LLC |
Practice Address |
620 10th Street N St Petersburg FL 33705-1407 |
Mailing Address |
Po Box 12868 St Petersburg FL 33733-2868 |
Practice Telephone | 7275321355 |
Practice Fax Number | 7272664928 |
Mailing Telephone | 7275320002 |
Mailing Fax Number | 7272664943 |
Enumeration Date | 2011-03-07 |
Last Update Date | 2018-01-26 |
Authorized Official Name | MS. LYNDA A. GORKEN (VP, PFS) |
Authorized Official Telephone | 7275321355 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 003689300 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841599842 | Sc Physicians LLC | Clinic/Center | 610 7th St S, St Petersburg, FL 33701 | 2011-03-17 |
1841589330 | Sc Physicians LLC | Clinical Medical Laboratory | 620 10th St N, St Petersburg, FL 33705-1407 | 2011-04-05 |
1639478589 | Sc Physicians LLC | Durable Medical Equipment & Medical Supplies | 620 10th Street N., St Petersburg, FL 33705-1407 | 2011-03-17 |
1346549292 | Sc Physicians LLC | Clinic/Center | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-03-17 |
1780983700 | Sc Physicians LLC | Radiology | 601 7th St S, St Petersburg, FL 33701-4704 | 2011-03-16 |
1780982280 | Sc Physicians LLC | Durable Medical Equipment & Medical Supplies | 1099 5th Ave N, Suite 110, St Petersburg, FL 33705-1469 | 2011-03-08 |
Street Address |
620 10TH STREET N |
City | ST PETERSBURG |
State | FL |
Zip Code | 33705-1407 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
Find all providers in zip 33705 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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Find all providers with the same taxonomy |
City | ST PETERSBURG |
Zip Code | 33705 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.