NPIMap

Organization Active NPI

Patient Connect Healthcare Clinic LLC

  • Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1104106525
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
LC9743 Issued in FL
Legal business name
PATIENT CONNECT HEALTHCARE CLINIC LLC
Practice address
6350 Central Ave
Suite a
St Petersburg, FL 33707-1430
Phone
(727) 490-6326
NPI assigned
Aug 17, 2011
Last updated
May 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Ann L Conard
Title
Financial Officer
Phone
(727) 490-6326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LC9743 FL Primary

Addresses

Primary practice location

6350 Central Ave
Suite a
St Petersburg, FL 33707-1430

Mailing address

6350 Central Ave
Suite a
St Petersburg, FL 33707-1430
Phone (727) 490-6326

National Provider Directory

National Provider Directory

Locations

6350 Central Ave
#A
Saint Petersburg, FL 33707
Phone (727) 290-9612

6350 Central Ave
Ste A
St Petersburg, FL 33707
Phone (727) 290-9612

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1104106525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071430",
            "telephone_number": "727-490-6326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071430",
            "telephone_number": "727-490-6326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CONNECT HEALTHCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "CONARD",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-490-6326",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "LC9743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.