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General NPI Number Information
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NPI Number | 1588534499
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Entity Type | Organization
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Legal Business Name | ICARE ST PETE, INC.
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 2330 DR MLK JR STREET S
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City | ST. PETERBURG
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State | FL
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Zip | 33705
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Country | US
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Telephone | 727-283-3288
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Fax | 727-283-3288
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Provider Business Mailing Address
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Address Line | 2330 DR MLK JR STREET S
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City | ST. PETERBURG
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State | FL
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Zip | 33705
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Country | US
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Telephone | 727-283-3288
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Fax | 727-283-3288
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Authorized Official
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Title or Position | CEO
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Name | KULMALEE ALVELO
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Credential |
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Telephone | 727-283-3288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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