Organization Active NPI

Medical Management Institute LLC

  • Clinic/Center
  • Pinellas Park, FL
National Provider Identifier
1437347952
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MEDICAL MANAGEMENT INSTITUTE LLC
Practice address
9375 US Highway 19 N Ste a
Pinellas Park, FL 33782-5420
Phone
(727) 323-4507
NPI assigned
Oct 10, 2007
Last updated
Aug 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Judy K Petitt
Title
General Manager
Phone
(727) 323-4507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

9375 US Highway 19 N Ste a
Pinellas Park, FL 33782-5420

Mailing address

9375 US Highway 19 N Ste a
Pinellas Park, FL 33782-5420
Phone (727) 323-4507

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1437347952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 US HIGHWAY 19 N STE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825420",
            "telephone_number": "727-323-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 US HIGHWAY 19 N STE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825420",
            "telephone_number": "727-323-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "PETITT",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "727-323-4507"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.