Female

Dr. Ann L. Threatte D.O.

Internal Medicine Physician in St Petersburg, FL(View on Map)

Full Name

Dr. Ann Louise Threatte D.O.

NPI Number

1174952469

NPI Type

Individual Provider

Gender

Female

Enumeration Date

11/06/2013

Specialties

(Taxonomies)

Code

207R00000X
208M00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

UO3705
OS13704

Contact
Information

Purpose

Mailing
Location

Address

1839 CENTRAL AVE
6000 49TH ST N

City

St Petersburg
St Petersburg

State

FL
FL

Postal Code

33713
33709-2114

Country

US
US

Telephone Number

(727) 322-1054
(727) 521-4411

Identifiers

Identifier

112765400

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/31/2023

Provider Address

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