Florida Family Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME27211 Issued in FL

Legal business name

FLORIDA FAMILY MEDICINE LLC

Practice address

7500 4TH St N
Saint Petersburg, FL 33702-5410

Phone

(727) 526-4122

NPI assigned

Jan 27, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Ambrose Abinales

Title

Office Manager

Phone

(727) 526-4122

Specialties & licenses 1

Addresses

Other names 1

• ABINALES AND ABINALES MDPA Former legal business name

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477609766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337025410",
            "telephone_number": "727-526-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 4TH ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337025410",
            "telephone_number": "727-526-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABINALES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "AMBROSE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-526-4122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME27211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABINALES AND ABINALES MDPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• 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 Aug 22, 2020; 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.