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

Victor Ian Photos

Individual provider Family Nurse Practitioner · NPI 1255145157

Victor Ian Photos is a Nurse Practitioner in St Petersburg, Florida. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025

Practice location Address checks out

1839 Central Ave
St Petersburg, FL 33713-9089
Phone: (727) 322-1054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11039990 (FL)

Record details

NPI number1255145157
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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