Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greater Tampa Bay Physicians Pinellas, LLC

Organization Family Medicine Physician · NPI 1629402359

Greater Tampa Bay Physicians Pinellas, LLC provides Family Medicine Physician services in St Petersburg, Florida. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1100 62nd Ave S
St Petersburg, FL 33705-5620 Not confirmed with CMS for 13 years — call before visiting
Phone: (727) 866-3166
Fax: (727) 864-4043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629402359
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ken Griffin — Ao/Vp · (727) 771-7591
NPI enumeratedAugust 29, 2013
Last updated in NPPESAugust 29, 2013
Mailing address1100 62nd Ave S, St Petersburg, FL 33705-5620

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