| NPI | 1164836797 |
|---|---|
| Doing Business As | ST. PETERSBURG HEALTH & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | EDWARD LESLIE COLE Managing Member 727-202-6807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-19 |