OrganizationActive
Carillon Sports and Family Medicine PA
NPI 1275730970 · Sports Medicine (Family Medicine) Physician · St Petersburg, FL
Provider details
- NPI number
- 1275730970
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adam Brunson, President(727) 561-4303
- License
- ME80751 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12225 28th St N
Suite B
St Petersburg, FL 33716-1860
Phone: (727) 561-4303
Fax: (727) 561-9299
Approximate (ZIP-level) locationGet directions
Mailing address
12225 28th St N
St Petersburg, FL 33716-1860
Registry dates
- Enumerated
- 2007-06-27
- Last updated
- 2011-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.