NPIMap

Organization Active NPI

Family Practice and Injury Center Inc

  • Family Medicine Physician
  • Saint Petersburg, FL
National Provider Identifier
1538245709
Registry record updated Jan 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FLOS00004912 Issued in FL
Legal business name
FAMILY PRACTICE AND INJURY CENTER INC
Practice address
4701 Central Ave Ste a
Saint Petersburg, FL 33713-8153
Phone
(727) 347-3213
Fax
(727) 345-6923
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2020

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

Authorized official

Name
Nila J Allen
Title
Office Manager
Phone
(727) 347-3213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X FLOS00004912 FL Primary

Addresses

Primary practice location

4701 Central Ave Ste a
Saint Petersburg, FL 33713-8153

Mailing address

4701 Central Ave Ste a
Saint Petersburg, FL 33713-8153
Phone (727) 347-3213

National Provider Directory

National Provider Directory

Locations

4701 Central Ave
St Petersburg, FL 33713

5778 5th Ave N
St Petersburg, FL 33710
Phone (727) 347-3213

4701 Central Ave
Ste A
St Petersburg, FL 33713
Phone (727) 347-3213

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578700800000",
    "number": "1538245709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 CENTRAL AVE STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138153",
            "telephone_number": "727-347-3213",
            "fax_number": "727-345-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CENTRAL AVE STE A",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138153",
            "telephone_number": "727-347-3213",
            "fax_number": "727-345-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE AND INJURY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-01-11",
        "certification_date": "2020-01-11",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NILA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-347-3213"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "FLOS00004912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.