NPIMap

Organization Active NPI

Pinellas Health & Wellness, LLC

Doing business as St. Petersburg Health & Wellness

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1164836797
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
PINELLAS HEALTH & WELLNESS, LLC
Doing business as
St. Petersburg Health & Wellness
Practice address
222 2ND St N
St Petersburg, FL 33701-3314
Phone
(727) 202-6807
Fax
(727) 202-6896
NPI assigned
Jun 11, 2014
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Dr. Edward Leslie Cole III, MDNPI 1265764377
Title
Managing Member
Phone
(727) 202-6807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0500X Primary

Addresses

Primary practice location

222 2ND St N
St Petersburg, FL 33701-3314

Mailing address

222 2ND St N
St Petersburg, FL 33701-3314
Phone (727) 202-6807

Other names 1

  • St. Petersburg Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

222 2nd St N
St Petersburg, FL 33701
Phone (727) 202-6807

Practitioners & affiliated clinicians

Practitioners 4

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": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1164836797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 2ND ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013314",
            "telephone_number": "727-202-6807",
            "fax_number": "727-202-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 2ND ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013314",
            "telephone_number": "727-202-6807",
            "fax_number": "727-202-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINELLAS HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-202-6807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Petersburg Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2014; 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.