NPIMap

Organization Active NPI

Complete Primary Care Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • St Petersburg, FL
National Provider Identifier
1124469770
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
COMPLETE PRIMARY CARE INC
Practice address
6006 49TH St N
Suite 120
St Petersburg, FL 33709-2148
Phone
(727) 527-8788
Fax
(727) 527-8828
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Seema Desai
Title
Administratior/ Manager
Phone
(727) 527-8788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

6006 49TH St N
Suite 120
St Petersburg, FL 33709-2148

Mailing address

6006 49TH St N
Suite 120
St Petersburg, FL 33709-2148
Phone (727) 527-8788

National Provider Directory

National Provider Directory

Locations

6006 49th St N
Ste 120
St Petersburg, FL 33709
Phone (727) 527-8788

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1124469770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 49TH ST N",
            "address_2": "SUITE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092148",
            "telephone_number": "727-527-8788",
            "fax_number": "727-527-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 49TH ST N",
            "address_2": "SUITE 120",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092148",
            "telephone_number": "727-527-8788",
            "fax_number": "727-527-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "ADMINISTRATIOR/ MANAGER",
        "authorized_official_telephone_number": "727-527-8788"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "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 Jul 11, 2013; 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.