OrganizationActive
Patient Connect Healthcare Clinic LLC
NPI 1104106525 · Clinic/Center · St Petersburg, FL
Provider details
- NPI number
- 1104106525
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ann Conard, Financial Officer(727) 490-6326
- License
- LC9743 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6350 Central Ave
Suite a
St Petersburg, FL 33707-1430
Phone: (727) 490-6326
Street-level locationGet directions
Mailing address
6350 Central Ave
St Petersburg, FL 33707-1430
Registry dates
- Enumerated
- 2011-08-17
- Last updated
- 2012-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.