OrganizationActive
Innovacare Central Florida Physicians, LLC
NPI 1275200248 · Internal Medicine Physician · Saint Petersburg, FL
Provider details
- NPI number
- 1275200248
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Innovacare Central Florida Physicians, LLC
- Organization subpart
- Yes
- Authorized official
- Dwight Perez, Credentialing Specialist(305) 733-7513
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1111 7th Ave N Ste 107
Saint Petersburg, FL 33705-1348
Phone: (727) 894-1661
Street-level locationGet directions
Mailing address
1111 7th Ave N Ste 107
Saint Petersburg, FL 33705-1348
Other names (DBA / former)
- Doing business as
- Anchor Medical Group
Registry dates
- Enumerated
- 2021-08-26
- Last updated
- 2021-08-26
- Certified
- 2021-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.