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ST MARYS FAMILY PRACTICE CENTER
NPI 1487866687
Family Medicine in St Petersburg, FL

Active since May 03, 2007CLIA 10D0954106 · Waiver
1152 62ND AVE S, ST PETERSBURG, FL 33705(727) 866-6306(727) 864-9614 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St Marys Family Practice Center NPPES

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

ST MARYS FAMILY PRACTICE CENTER (NPI 1487866687) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Sherif Mina Serag, Owner, as its authorized official.

NPPES Registry Identity

NPI1487866687
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST MARYS FAMILY PRACTICE CENTER
Location Address1152 62ND AVE SSt Petersburg, FL 33705-5620
Mailing Address1152 62nd Ave SSt Petersburg, FL 33705-5620 · (727) 866-6306 · Fax (727) 864-9614
Phone(727) 866-6306
Fax(727) 864-9614
Organization SubpartNo
Authorized OfficialSherif Mina SeragOwner · (727) 866-6306
Enumeration DateMay 3, 2007
Last NPPES UpdateOctober 1, 2019
✔ NPI 1487866687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1152 62ND AVE S, St Petersburg, FL 33705
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0954106

St Marys Family Practice Center · Saint Petersburg, FL
Active · expires Nov 17, 2026
CLIA Number10D0954106
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorSherif M. Serag
Laboratory Phone(727) 866-6306
Laboratory LocationSt Marys Family Practice Center1152 62nd Avenue South, Saint Petersburg, FL 33705
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHERIF M. SERAG M.D.
Family Medicine
1152 62ND AVE S
ST PETERSBURG, FL 33705
Pinellas County (727) 866-6306

Frequently Asked Questions

What is ST MARYS FAMILY PRACTICE CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1487866687, enumerated as an "organization" on May 03, 2007.

Where is the provider located?

The provider is located at 1152 62ND AVE S ST PETERSBURG, FL 33705 and the phone number is (727) 866-6306.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does ST MARYS FAMILY PRACTICE CENTER accept?

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.