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NPI Code Detail

MEDICARE: CORNERSTONE FAMILY CARE

MEDICARE: CORNERSTONE FAMILY CARE
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1942148523
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE FAMILY CARE
Provider Business Mailing Address
First Line : 7901 4TH ST N STE 300
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33702-4399
Country : US
Telephone Number : 904-600-3392
Fax Number : 949-883-3506
Provider Business Practice Location Address
First Line : 7901 4TH ST N STE 300
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33702-4399
Country : US
Telephone Number : 904-600-3392
Fax Number : 949-883-3506
Authorized Official
Title or Position : OWNER
Name : AMANDA ADAMS
Credential : APRN
Telephone Number : 904-600-3392
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “CORNERSTONE FAMILY CARE ” Practice Location

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