Professional Health Care of Pinellas LLC
NPI 1881647253 · Internal Medicine Physician · St Petersburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1881647253
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Claudia Poulin, Credentialing Specialist(727) 820-1040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
13 documented practice locations
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
Mailing address
Additional practice locations (12)
- 2251 Drew St Ste aClearwater, FL 33765-3306Phone: (727) 591-9010Fax: (727) 591-9090
- 14306 7th StreetDade City, FL 33523Phone: (813) 640-0060Fax: (352) 437-3950
- 1301 2nd Ave Sw Ste 314Largo, FL 33770-3120Phone: (727) 820-1177
- 3690 E Bay Dr Ste MLargo, FL 33771-1946Phone: (727) 525-5500Fax: (727) 821-7213
- 6502 Park Blvd NPinellas Park, FL 33781-3142Phone: (727) 541-5544
- 10875 Park Blvd Ste aSeminole, FL 33772-5456Phone: (727) 851-9910
- 5500 Dr Mlk Jr St NSt Petersburg, FL 33703-1204Phone: (727) 525-5500Fax: (727) 821-7213
- 1955 1st Ave NSt Petersburg, FL 33713-8941Phone: (727) 322-2925
- 9210 4th St N
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2026-04-20
- Certified
- 2026-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.