Organization Active NPI

Florida Physical Medicine, LLC

  • Specialist
  • St Petersburg, FL
National Provider Identifier
1972678084
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FLORIDA PHYSICAL MEDICINE, LLC
Practice address
5622 Central Ave
St Petersburg, FL 33707-1718
Phone
(727) 345-7900
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Tonje Stevens
Title
Adm
Phone
(727) 518-2977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5622 Central Ave
St Petersburg, FL 33707-1718

Mailing address

2200 W Bay Dr
Largo, FL 33770-1929
Phone (727) 518-2977

National Provider Directory

National Provider Directory

Locations

5622 Central Ave
St Petersburg, FL 33707
Phone (727) 345-7900

Practitioners & affiliated clinicians

Practitioners 1

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1972678084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337701929",
            "telephone_number": "727-518-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5622 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071718",
            "telephone_number": "727-345-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PHYSICAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "TONJE",
        "authorized_official_title_or_position": "ADM",
        "authorized_official_telephone_number": "727-518-2977"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "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 Oct 4, 2007; 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.