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SILVER WINGS INDEPENDENCE AT HOME LLC
NPI 1407128234
Family Medicine - Geriatric Medicine in Pinellas Park, FL

Active since February 09, 2012
6279 PARK BLVD N, PINELLAS PARK, FL 33781(727) 548-1232(727) 548-1182 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Silver Wings Independence At Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SILVER WINGS INDEPENDENCE AT HOME LLC (NPI 1407128234) is a healthcare organization registered as a geriatric medicine in Pinellas Park, Florida and active in the NPI registry since February 2012. The organization lists Laurence Milton Petty, Physician, as its authorized official.

NPPES Registry Identity

NPI1407128234
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSILVER WINGS INDEPENDENCE AT HOME LLC
Location Address6279 PARK BLVD NPinellas Park, FL 33781-3239
Mailing Address6279 Park Blvd NPinellas Park, FL 33781-3239 · (727) 548-1232 · Fax (727) 548-1182
Phone(727) 548-1232
Fax(727) 548-1182
Organization SubpartNo
Authorized OfficialLaurence Milton PettyPhysician · (727) 548-1232
Enumeration DateFebruary 9, 2012
✔ NPI 1407128234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in FL · ME68819
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
6279 PARK BLVD N, Pinellas Park, FL 33781
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Silver Wings Independence At Home LLC's NPI number?

The NPI number for Silver Wings Independence At Home LLC is 1407128234. It was assigned to this organization in the NPPES registry on February 9, 2012.

Where is Silver Wings Independence At Home LLC located?

Silver Wings Independence At Home LLC is located at 6279 Park Blvd N, Pinellas Park, FL 33781. The listed phone number is (727) 548-1232.

What is Silver Wings Independence At Home LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Silver Wings Independence At Home LLC was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.