St. Petersburg Primary Care Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME83175 Issued in FL

Legal business name

ST. PETERSBURG PRIMARY CARE ASSOCIATES

Practice address

780 4TH Ave S
St Petersburg, FL 33701-4412

Phone

(727) 502-0052

NPI assigned

Jul 13, 2017

Organization subpart

No

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

Authorized official

Name

Paul M Pulcini, MD

Title

Doctor

Phone

(813) 269-6426

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1265954085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 203",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152865",
            "telephone_number": "813-269-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 4TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014412",
            "telephone_number": "727-502-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERSBURG PRIMARY CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "PULCINI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-269-6426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "G20297",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Petersburg General Surgery LLC
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• St. Petersburg Nutrition LLC
• St. Petersburg Operator LLC (Brentwood Senior Living at St. Pete)
• St. Petersburg Outpatient Surgery Center, LLC (St. Petersburg Eye Surgery Center)
• St. Petersburg Surgical Specialist
• St. Petersburg Woman's Health Center
• St.Pete Nurse Practitioner, LLC
• St.Petersburg Alf Management, LLC (Bayou Palms Assisted Living and Memory Care)
• Stabilityx Physical Therapy, LLC

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.