MEDICARE: PLANNED PARENTHOOD OF SOUTHWEST AND CENTRAL FL, INC.

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	251K00000X	Public Health or Welfare Agency		FL

General Provider Information

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

Provider Business Mailing Address
First Line	:	8708 40TH WAY
Second Line	:
City	:	PINELLAS PARK
State	:	FL
Zip	:	33782-5814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 DR MARTIN LUTHER KING JR ST S # A
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33705-1604
Country	:	US
Telephone Number	:	727-898-8199
Fax Number	:

Authorized Official
Title or Position	:	ARNP
Name	:	MARTHA JANE BATH
Credential	:
Telephone Number	:	727-667-2255

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	07/21/2022

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