Healthcare Provider Details

I. General information

NPI: 1194541904
Provider Name (Legal Business Name): NOELLE CERINI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 6TH ST S
SAINT PETERSBURG FL
33701-4827
US

IV. Provider business mailing address

880 6TH ST S
SAINT PETERSBURG FL
33701-4827
US

V. Phone/Fax

Practice location:
  • Phone: 727-767-7272
  • Fax:
Mailing address:
  • Phone: 727-767-7272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT41930
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: