Healthcare Provider Details

I. General information

NPI: 1912101148
Provider Name (Legal Business Name): PLANNED PARENTHOOD OF SOUTHWEST AND CENTRAL FL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 DR MARTIN LUTHER KING JR ST S # A
ST PETERSBURG FL
33705-1604
US

IV. Provider business mailing address

8708 40TH WAY
PINELLAS PARK FL
33782-5814
US

V. Phone/Fax

Practice location:
  • Phone: 727-898-8199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateFL

VIII. Authorized Official

Name: MARTHA JANE BATH
Title or Position: ARNP
Credential:
Phone: 727-667-2255