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1225681398
ADAM BASTILLE
ST PETERSBURG, FL
NPI
1225681398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11003356)
Enumeration Date
2019-07-18
Last Update Date
2024-03-29
Business Address
Mr. ADAM BASTILLE FNP-C
2116 34TH ST S
ST PETERSBURG, FL 33711-3224
Phone number: 727-321-3854
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Mailing Address
Mr. ADAM BASTILLE FNP-C
701 94TH AVE N STE 250
ST PETERSBURG, FL 33702-2448
Phone number: 727-321-3854
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