Healthcare Provider Details

I. General information

NPI: 1114228590
Provider Name (Legal Business Name): ALL CHILDREN'S PERINATOLOGY SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 06/07/2022
Certification Date: 06/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 6TH AVE S SUITE 340
ST PETERSBURG FL
33701-4662
US

IV. Provider business mailing address

PO BOX 946298
ATLANTA GA
30394-6298
US

V. Phone/Fax

Practice location:
  • Phone: 727-553-7903
  • Fax: 727-553-7905
Mailing address:
  • Phone: 727-553-7903
  • Fax: 727-553-7905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTY ALICIA SCHULHOF
Title or Position: PRESIDENT
Credential:
Phone: 727-898-7451