Active NPI
Michael Raymond Eldridge, DVM
- Veterinarian
- St Petersburg, FL
National Provider Identifier
1326239344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- VM3171
- Practice address
- 2540 30TH Ave N
St Petersburg, FL 33713-2926 - Phone
- (727) 896-7127
- Fax
- (727) 822-0490
- NPI assigned
- Aug 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | VM3171 | FL | Primary |
Addresses
Primary practice location
2540 30TH Ave N
St Petersburg, FL 33713-2926
Mailing address
2540 30TH Ave N
St Petersburg, FL 33713-2926
Phone (727) 896-7127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VM3171 | FL | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1326239344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2540 30TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337132926",
"telephone_number": "727-896-7127",
"fax_number": "727-822-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 30TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337132926",
"telephone_number": "727-896-7127",
"fax_number": "727-822-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDRIDGE",
"first_name": "MICHAEL",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "FL",
"license": "VM3171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Elara Behavioral Health Services LLC
- Laurie Elbow, LMHC
- Fletcher Eldemire, DO
- Elder Athlete Physical Therapy PLLC
- Charles David Eldridge IV, MD
- Tiffany Teresa Eldridge, CRNA
- Elena Neveux OD PA
- Elephant Healthcare LLC
- Elephant in the Room Therapy Services LLC
- Elevate Integrative Wellness LLC (Elevate Integrative Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.