Healthcare Provider Details

I. General information

NPI: 1376519629
Provider Name (Legal Business Name): ST. ANTHONYS HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 07/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 7TH AVE N
ST PETERSBURG FL
33705-1300
US

IV. Provider business mailing address

1200 7TH AVE N
ST PETERSBURG FL
33705-1300
US

V. Phone/Fax

Practice location:
  • Phone: 727-825-1100
  • Fax:
Mailing address:
  • Phone: 727-825-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number4215
License Number StateFL

VIII. Authorized Official

Name: MR. CARL TREMONTI
Title or Position: CFO, BAYCARE HOSPITAL DIVISION
Credential:
Phone: 727-462-7176