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

Greater Tampa Bay Physicians Pinellas, LLC

Organization Family Medicine Physician · NPI 1629402359

Greater Tampa Bay Physicians Pinellas, LLC is a Family Medicine Physician 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
Phone: (727) 866-3166
Fax: (727) 864-4043
Show map & directions

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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