Mountcastle Vein Center of St Petersburg
Mountcastle Vein Center of St Petersburg is a General Practice Physician in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
5901 Sun Blvd Ste 113ASt Petersburg, FL 33715-1166
Phone: (727) 865-6941
Fax: (727) 864-0929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence ME36289 (FL) |
|---|
Record details
| NPI number | 1619022951 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Daniel Mountcastle — President · (727) 865-6941 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | November 20, 2014 |
| Mailing address | 5901 Sun Blvd, Suite 201, St Petersburg, FL 33715-1166 |
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