Organization Active NPI

Vein Institute of Pinellas LLC

  • General Practice Physician
  • St Petersburg, FL
National Provider Identifier
1205347127
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VEIN INSTITUTE OF PINELLAS LLC
Practice address
5500 9TH St N
St Petersburg, FL 33703-1204
Phone
(727) 525-5500
Fax
(727) 522-2574
NPI assigned
Oct 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Ms. Claudia Jean Poulin
Title
Admin
Phone
(727) 820-1040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X FL Primary

Addresses

Primary practice location

5500 9TH St N
St Petersburg, FL 33703-1204

Mailing address

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 820-1040

National Provider Directory

National Provider Directory

Locations

3690 E Bay Dr
Ste M
Largo, FL 33771
Phone (727) 210-8391

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1205347127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-820-1040",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031204",
            "telephone_number": "727-525-5500",
            "fax_number": "727-522-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEIN INSTITUTE OF PINELLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "727-820-1040",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "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 Oct 18, 2017; 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.