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

Four Palms Manor Inc

Organization Assisted Living Facility · NPI 1417167420

Four Palms Manor Inc is an Assisted Living Facility 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

302 11th Ave NE
St Petersburg, FL 33701-1926
Phone: (727) 742-6974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 0016 (FL)

Record details

NPI number1417167420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marlene Berthelot — Owner · (727) 742-6974
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 16, 2008
Mailing address302 11th Ave Ne, St Petersburg, FL 33701-1926

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