Community Health Center of Pinellas Inc
Community Health Center of Pinellas Inc is a General Practice Physician in St Petersburg, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1344 22nd St SSt Petersburg, FL 33712-2744
Phone: (727) 824-8181
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
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| General Practice Physician | Taxonomy 208D00000X |
Record details
| NPI number | 1194283382 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Community Health Center of Pinellas Inc |
| Authorized official | Edward Kucher — Chief Regulatory Officer · (727) 824-8100 |
| Other names | Community Health Center At Mobile Health Center; Community Health Center At Mobile Health Center; Evara Health |
| NPI enumerated | March 6, 2019 |
| Last updated in NPPES | June 6, 2025 |
| Certification date | June 6, 2025 |
| Mailing address | Po Box 10549, St Petersburg, FL 33733-0549 |
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Alan B Campbell, MD
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Monica M. Clemente-Ortiz, MD
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Dr. Edward Les Cole III, MD
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Richard T Eliason, MD
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Jacob Anthony Fischer, DO
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Jacqueline Blutcher Gollman, MD
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