Organization · Type 2 NPI

Keith Brady, M.d., P.a

Primary Care Clinic/Center · St. Petersburg, FL

NPI number 1861754590 Active

Practice location

1201 5th Ave N, Suite 412
St. Petersburg, FL 33705-1400

Call (727) 820-7992 Map

Fax (727) 820-7901

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XME37799 (FL)

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

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About NPI 1861754590

Keith Brady, M.d., P.a's National Provider Identifier is 1861754590, issued on Jun 8, 2012. 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 Jul 26, 2012.