St Pete Ent LLC
NPI #1023198355 in St Petersburg, Florida
Provider Information
- NPI Number
- 1023198355
- Entity Type
- Organization
- Organization Name
- St Pete Ent LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Mar 14, 2013
Practice Location
- Address
- 2299 9TH AVE N
- Address 2
- SUITE 3B
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33713-6800
- Phone
- (727) 321-3344
Authorized Official
- Name
- PATRICIA A GILROY, M D
- Title
- OWNER
- Phone
- (727) 321-3344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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