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

The Clinic St Pete

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1730637877

The Clinic St Pete is an Addiction Medicine (Internal Medicine) Physician in St Petersburg, Florida. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

4100 5th Ave N
St Petersburg, FL 33713-6304
Phone: (845) 608-3312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X

Record details

NPI number1730637877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Ackerman — Ceo · (845) 608-3312
NPI enumeratedSeptember 19, 2016
Last updated in NPPESSeptember 19, 2016
Mailing address11 Plaza Real S Apt 1003, Boca Raton, FL 33432-4899

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