Organization · Type 2 NPI

Mountcastle Vein Center of ST Petersburg

General Practice Physician · St. Petersburg, FL

NPI number 1619022951 Active

Practice location

5901 Sun Blvd, Suite 113A
St. Petersburg, FL 33715-1166

Fax (727) 864-0929

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XME36289 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

9 other providers at this address

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About NPI 1619022951

Mountcastle Vein Center of ST Petersburg's National Provider Identifier is 1619022951, issued on Jan 25, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 20, 2014.