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1730878612
BIODYNAMIC HEALTH
ST PETERSBURG, FL
NPI
1730878612
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Entity Type
Organization
Authorized Contact
VINCENT PETRONELLI
Owner
401-481-9361
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
BIODYNAMIC HEALTH
1150 19TH ST N
ST PETERSBURG, FL 33713-5739
Phone number: 401-481-9361
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Mailing Address
BIODYNAMIC HEALTH
5440 8TH AVE N
ST PETERSBURG, FL 33710-6512
Phone number: 401-481-9361
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