Carillon Sports and Family Medicine PA
Carillon Sports and Family Medicine PA is a Sports Medicine (Family Medicine) Physician 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
Phone: (727) 561-4303
Fax: (727) 561-9299
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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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