Affiliated Health Clinics
Family Medicine Physician in St Petersburg, FL(View on Map)
Legal Business Name
Affiliated Health Clinics
NPI Number
1831632900
NPI Type
Organization
Enumeration Date
11/22/2016
Specialties
(Taxonomies)Name
Code
207Q00000X
208M00000X
207R00000X
207QS0010X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1515 22ND AVE N
1515 22ND AVE N
City
St Petersburg
St Petersburg
State
FL
FL
Postal Code
33704-3113
33704-3113
Country
US
US
Telephone Number
(727) 322-4227
(727) 322-4227
Authorized Official
Name
Dylan Dinesh
Title or Position
OWNER
Telephone Number
(727) 322-4227
Identifiers
Identifier
019761700
BT37F
Identifier State
FL
Unknown
Identifier Issuer
Unknown
BCBS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/12/2023
Provider Address
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