MEDICARE: PINELLAS MEDICAL ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285765040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINELLAS MEDICAL ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	5880 49TH ST N STE N104
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2150
Country	:	US
Telephone Number	:	727-528-6100
Fax Number	:	727-528-7895

Provider Business Practice Location Address
First Line	:	5880 49TH ST N STE 104
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33709-2142
Country	:	US
Telephone Number	:	727-528-6100
Fax Number	:	727-528-7895

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MICHELLE MAY
Credential	:
Telephone Number	:	727-528-6100

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	02/19/2026

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