Organization · Type 2 NPI

John B. Decosmo,iii, D.o., P.a.

Primary Care Clinic/Center · St. Petersburg, FL

NPI number 1831474303 Active

Practice location

4800 4th St N
St. Petersburg, FL 33703-3817

Fax (727) 362-6772

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XOS5534 (FL)

Primary Care Clinic/Center: Definition to come...

9 other providers at this address

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About NPI 1831474303

John B. Decosmo,iii, D.o., P.a.'s National Provider Identifier is 1831474303, issued on Oct 17, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 12, 2015.