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

Jesus Antatico Macrohon

Individual provider Nurse Practitioner · NPI 1770189656

Jesus Antatico Macrohon is a Nurse Practitioner in St Petersburg, Florida. Qualified in 2019, 7 years ago. Practices with Professional Health Care of Pinellas, LLC, a 88-clinician group. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

1839 Central Ave
St Petersburg, FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 322-2725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11006709 (FL)

Record details

NPI number1770189656
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 7, 2020
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Professional Health Care Of Pinellas, Llc — 88 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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