John B. Decosmo, III, DO, PA
John B. Decosmo, III, DO, PA is a Primary Care Clinic/Center in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4800 4th St NSt Petersburg, FL 33703-3817
Phone: (727) 498-6488
Fax: (727) 362-6772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence OS5534 (FL) |
|---|
Record details
| NPI number | 1831474303 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Decosmo — President · (727) 498-6488 |
| NPI enumerated | October 17, 2011 |
| Last updated in NPPES | April 12, 2015 |
| Mailing address | 4800 4th St N, St Petersburg, FL 33703-3817 |
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