NPIMap

Organization Active NPI

Professional Health Care of Pinellas Inc.

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1568970903
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PROFESSIONAL HEALTH CARE OF PINELLAS INC.
Practice address
5500 9TH St N
St Petersburg, FL 33703-1204
Phone
(727) 525-5500
Fax
(727) 821-7213
NPI assigned
Jan 19, 2018
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Claudia J Poulin
Title
Credentialing Specialist
Phone
(727) 820-1040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Chiropractor 111N00000X Primary

Addresses

Primary practice location

5500 9TH St N
St Petersburg, FL 33703-1204

Mailing address

1839 Central Ave
St Petersburg, FL 33713-8900
Phone (727) 820-1040

National Provider Directory

National Provider Directory

Locations

414 Jeffords St
Clearwater, FL 33756
Phone (727) 298-8496

3690 E Bay Dr
Ste M
Largo, FL 33771
Phone (727) 210-8391

4206 Central Ave
St Petersburg, FL 33711
Phone (727) 322-0245

4051 Upper Creek Dr
Ste 101
Sun City Ctr, FL 33573
Phone (656) 222-6060

6336 Fort King Rd
Zephyrhills, FL 33542
Phone (813) 640-0060

Practitioners & affiliated clinicians

Practitioners 226

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 226

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1568970903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-820-1040",
            "fax_number": "727-821-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031204",
            "telephone_number": "727-525-5500",
            "fax_number": "727-821-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CARE OF PINELLAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-820-1040"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.