GREATER TAMPA BAY PHYSICIANS PINELLAS, LLC
NPI 1629402359
Family Medicine in St Petersburg, FL

Active since August 29, 2013
1100 62ND AVE S, ST PETERSBURG, FL 33705(727) 866-3166(727) 864-4043 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greater Tampa Bay Physicians Pinellas, Llc NPPES

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

GREATER TAMPA BAY PHYSICIANS PINELLAS, LLC (NPI 1629402359) is a healthcare organization registered as a family medicine in St Petersburg, Florida and active in the NPI registry since August 2013. The organization lists Ken Griffin, Ao/vp, as its authorized official.

NPPES Registry Identity

NPI1629402359
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREATER TAMPA BAY PHYSICIANS PINELLAS, LLC
Location Address1100 62ND AVE SSt Petersburg, FL 33705-5620
Mailing Address1100 62nd Ave SSt Petersburg, FL 33705-5620 · (727) 866-3166 · Fax (727) 864-4043
Fax(727) 864-4043
Organization SubpartNo
Authorized OfficialKen GriffinAo/vp · (727) 771-7591
Enumeration DateAugust 29, 2013
NPI 1629402359 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.
1100 62ND AVE S, St Petersburg, FL 33705

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

Other Providers at the Same Location NPPES 2

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

Family Medicine
1100 62ND AVE S
ST PETERSBURG, FL 33705
Family Medicine
1100 62ND AVE S
ST PETERSBURG, FL 33705

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 Greater Tampa Bay Physicians Pinellas, LLC's NPI number?

The NPI number for Greater Tampa Bay Physicians Pinellas, LLC is 1629402359. It was assigned to this organization in the NPPES registry on August 29, 2013.

Where is Greater Tampa Bay Physicians Pinellas, LLC located?

Greater Tampa Bay Physicians Pinellas, LLC is located at 1100 62nd Ave S, St Petersburg, FL 33705. The listed phone number is (727) 866-3166.

What is Greater Tampa Bay Physicians Pinellas, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Greater Tampa Bay Physicians Pinellas, LLC was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.