St Peter Medical Clinic,Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME939346 Issued in FL

Legal business name

ST PETER MEDICAL CLINIC,INC

Practice address

10045 Cortez Blvd
Suite # 110
Weeki Wachee, FL 34613-6319

Phone

(352) 592-2929

Fax

(352) 592-2931

NPI assigned

Jun 29, 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

Dr. Maher Zaki Hanna, M.D.

Title

President

Phone

(813) 367-7953

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578760781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 SAGO POINT CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346396780",
            "telephone_number": "813-367-7953",
            "fax_number": "813-333-5249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10045 CORTEZ BLVD",
            "address_2": "SUITE # 110",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136319",
            "telephone_number": "352-592-2929",
            "fax_number": "352-592-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETER MEDICAL CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "MAHER",
        "authorized_official_middle_name": "ZAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-367-7953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME939346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Weeki Wachee, FL
• Providers in Weeki Wachee, FL by specialty
• Primary Care Clinic/Center 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.