Carillon Sports and Family Medicine PA
Carillon Sports and Family Medicine PA provides Sports Medicine (Family Medicine) Physician services in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12225 28th St N Ste BSt Petersburg, FL 33716-1860 Not confirmed with CMS for 15 years — call before visiting
Phone: (727) 561-4303
Fax: (727) 561-9299
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence ME80751 (FL) |
|---|
Record details
| NPI number | 1275730970 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Adam Brunson — President · (727) 561-4303 |
| NPI enumerated | June 27, 2007 |
| Last updated in NPPES | May 12, 2011 |
| Mailing address | 12225 28th St N, Suite B, St Petersburg, FL 33716-1860 |
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