Active NPI
Vein Institute of Pinellas LLC
- General Practice Physician
- St Petersburg, FL
National Provider Identifier
1205347127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.