Organization · Type 2 NPI
The Clinic ST Pete
Addiction Medicine (Internal Medicine) Physician · St. Petersburg, FL
Practice location
4100 5th Ave N
St. Petersburg, FL 33713-6304
Mailing address
11 Plaza Real S Apt 1003
Boca Raton, FL 33432-4899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | None listed |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1730637877
The Clinic ST Pete's National Provider Identifier is 1730637877, issued on Sep 19, 2016. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 19, 2016.