PROFESSIONAL HEALTH CARE OF PINELLAS INC. (NPI# 1568970903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568970903 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HEALTH CARE OF PINELLAS INC. |
| Practice Address |
5500 9th St N St Petersburg FL 33703-1204 |
| Mailing Address |
1839 Central Ave St Petersburg FL 33713-8900 |
| Practice Telephone | 7275255500 |
| Practice Fax Number | 7278217213 |
| Mailing Telephone | 7278201040 |
| Mailing Fax Number | 7278217213 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Authorized Official Name | CLAUDIA J POULIN (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7278201040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
5500 9TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750353819 | Roy D Gowing | Chiropractor | 5500 9th St N, St Petersburg, FL 33703-1204 | 2006-02-03 |
| 1205347127 | Vein Institute of Pinellas LLC | General Practice | 5500 9th St N, St Petersburg, FL 33703-1204 | 2017-10-18 |
| 1215462007 | Jose Nino Peralta | Nurse Practitioner | 5500 9th St N, St Petersburg, FL 33703-1204 | 2017-04-29 |
| 1083687420 | Dennis L. Jones | Chiropractor | 5500 9th St N, St Petersburg, FL 33703-1204 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390433 | Jessica Schofield | Chiropractor | 3202 9th St N, St Petersburg, FL 33704-1202 | 2020-09-10 |
| 1497386577 | Sarah Elizabeth Brumbaugh | Chiropractor | 790 4th Ave S, St Petersburg, FL 33701-4412 | 2020-01-28 |
| 1114565504 | Debra Jane Roche | Chiropractor | 9100 9th St N Apt 508, St Petersburg, FL 33702-3077 | 2019-12-16 |
| 1841838620 | Ashley Therese Martin | Chiropractor | 556 1st Ave N, St Petersburg, FL 33701-3702 | 2019-12-12 |
| 1982169686 | Danielle Fortner | Chiropractor | 6044 30th Ave N, St Petersburg, FL 33710-3334 | 2019-02-06 |
| 1588150445 | Anas Anis Khalaf | Chiropractor | 6740 Crosswinds Dr N Ste A, St Petersburg, FL 33710-5472 | 2018-07-03 |
| 1316455009 | Welcome Home Family Chiropractic & Wellness Center, Pllc | Chiropractor | 3773 Central Ave, St Petersburg, FL 33713-8338 | 2018-01-16 |
| 1538696901 | Manuel Alvin Valverde | Chiropractor | 5203 Central Ave, St Petersburg, FL 33710-8141 | 2017-05-17 |
| 1043744949 | Jake Lowe | Chiropractor | 2253 Central Ave, 106, St Petersburg, FL 33713-8844 | 2017-04-18 |
| 1598201139 | Vicky Poulakis | Chiropractor | 3157 4th St N, St Petersburg, FL 33704-2124 | 2017-01-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on PROFESSIONAL HEALTH CARE OF PINELLAS INC..
| 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.