Provider Demographics
NPI:1366401879
Name:NORTH PINELLAS INTERNAL MEDICINE ASSOCIATES, INC.
Entity type:Organization
Organization Name:NORTH PINELLAS INTERNAL MEDICINE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-781-5811
Mailing Address - Street 1:2626 TAMPA RD
Mailing Address - Street 2:SUITE #202
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3155
Mailing Address - Country:US
Mailing Address - Phone:727-781-5811
Mailing Address - Fax:727-781-5613
Practice Address - Street 1:2626 TAMPA RD
Practice Address - Street 2:SUITE #202
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3155
Practice Address - Country:US
Practice Address - Phone:727-781-5811
Practice Address - Fax:727-781-5613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34185OtherBCBS
FL34185Medicare ID - Type Unspecified