Professional Health Care of Pinellas LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PROFESSIONAL HEALTH CARE OF PINELLAS LLC

Practice address

1839 Central Ave
St Petersburg, FL 33713-8900

Phone

(727) 322-1054

Fax

(727) 822-8081

NPI assigned

May 18, 2006

Last updated

Sep 28, 2026By 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

Dani Z Molla

Title

Credentialing Specialist

Phone

(727) 322-1054

Specialties & licenses 7

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EIJHAA

Practitioners 233

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.

• Hazem F Al-Andary, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1275847071
  Medicare reassignment Care Compare group NPD
• Cirly Aleyas, ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1649707951
  Medicare reassignment Care Compare group NPD
• Janelle Alfano, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1548856974
  Medicare reassignment Care Compare group NPD
• Gilberto Alvarez, MD

  • General Practice Physician
  • Largo, FL
  • NPI 1598303984
  Medicare reassignment Care Compare group NPD
• Frank S Amato, ARNP

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1417940347
  Medicare reassignment Care Compare group NPD
• Christina Marie Gauthreaux Angel, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1366897498

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Tatiana Arkhipenko, MD

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1881978708
  Medicare reassignment Care Compare group NPD
• Nadine Azzi, MD

  • Hospitalist Physician
  • St Petersburg, FL
  • NPI 1891925301
  Medicare reassignment Care Compare group NPD
• Alexandra Jozefa Balcom, APRN

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1376373811
  Medicare reassignment Care Compare group NPD
• Dania Ballich, M.D.

  • Internal Medicine Physician
  • St Petersburg, FL
  • NPI 1689201535
  Medicare reassignment Care Compare group NPD
• Riad K. Bankusli, MD

  • Internal Medicine Physician
  • Largo, FL
  • NPI 1497242804
  Medicare reassignment Care Compare group NPD
• Georgette Farnham Bouwhuis, A.R.N.P.

  • Family Nurse Practitioner
  • Pinellas Park, FL
  • NPI 1700112786
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1881647253",
    "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": "727-322-1054",
            "fax_number": "727-822-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138900",
            "telephone_number": "727-322-1054",
            "fax_number": "727-822-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 2nd Ave SW Ste 314",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703120",
            "country_code": "US",
            "telephone_number": "727-820-1177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 DR MLK JR ST N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337031204",
            "country_code": "US",
            "telephone_number": "727-525-5500",
            "fax_number": "727-821-7213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4051 Upper Creek Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sun City Center",
            "state": "FL",
            "postal_code": "335736825",
            "country_code": "US",
            "telephone_number": "727-525-5500",
            "fax_number": "727-821-7213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3690 E Bay Dr Ste M",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337711946",
            "country_code": "US",
            "telephone_number": "727-525-5500",
            "fax_number": "727-821-7213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6502 Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813142",
            "country_code": "US",
            "telephone_number": "727-541-5544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1955 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337138941",
            "country_code": "US",
            "telephone_number": "727-322-2925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2251 Drew St Ste A",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337653306",
            "country_code": "US",
            "telephone_number": "727-591-9010",
            "fax_number": "727-591-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14306 7th Street",
            "address_purpose": "LOCATION",
            "city": "Dade City",
            "state": "FL",
            "postal_code": "33523",
            "country_code": "US",
            "telephone_number": "813-640-0060",
            "fax_number": "352-437-3950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8133 54th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337091001",
            "country_code": "US",
            "telephone_number": "727-541-4458",
            "fax_number": "727-821-7213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5880 49th St N Ste 101",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337092142",
            "country_code": "US",
            "telephone_number": "727-527-8788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9210 4th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337023132",
            "country_code": "US",
            "telephone_number": "727-577-9250",
            "fax_number": "727-821-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CARE OF PINELLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "MOLLA",
        "authorized_official_first_name": "DANI",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-322-1054"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260904500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROV ID",
            "identifier": "CI3254",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FL PROV ID",
            "identifier": "21639",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Procaccini, RD
• Seiglinde Proctor
• Professional Dental Alliance of St. Petersburg, PLLC
• Professional Endodontics of Pinellas County PA
• Professional Health Care of Pinellas Inc.
• Professional Psychology of Pinellas PLLC
• Professional Urgent Care Services
• Progress Noted, LLC
• Progressus Therapy, LLC
• Prohealth Home Health Services, Inc

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.