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PREM FORT MD
NPI 1639345580
Pediatrics - Neonatal-Perinatal Medicine in St Petersburg, FL

Active since May 01, 2008
501 6TH AVE S, ST PETERSBURG, FL 33701(727) 767-4313(727) 767-4391 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prem Fort Md NPPES

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

PREM FORT MD (NPI 1639345580) is an individual neonatal-perinatal medicine provider in St Petersburg, Florida, licensed in Florida (ME123447) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1639345580
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NamePREM FORTCredential: MD
Location Address501 6TH AVE SSt Petersburg, FL 33701-4634
Mailing Address501 6th Ave SSt Petersburg, FL 33701-4634 · (727) 767-4313 · Fax (727) 767-4391
Phone(727) 767-4313
Fax(727) 767-4391
Sole ProprietorNo
Enumeration DateMay 1, 2008
Last NPPES UpdateJune 24, 2016
✔ NPI 1639345580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in FL · ME123447
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
501 6TH AVE S, St Petersburg, FL 33701
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Other Identifiers 1

Medicaid014799700FL

Other Providers at the Same Location NPPES 20

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

DR. STEPHEN ROGERS KENNEDY MD
Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4243
DR. WILLIAM EDWARD SCHAAF JR. M.D.
Radiology (Pediatric Radiology)
501 6TH AVE S, DEPARTMENT OF RADIOLOGY
SAINT PETERSBURG, FL 33701
Pinellas County (727) 767-3318
KRISTY W PATEL MD
Hospitalist
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4243
JENNIFER FOUTCH M.S.W.
Social Worker
501 6TH AVE S, DEPT.# 7470
ST PETERSBURG, FL 33701
Pinellas County (727) 767-6794
SUSAN BUFFINGTON
Nurse Practitioner (Pediatrics)
501 6TH AVE S, DEPT OF RADIOLOGY
ST PETERSBURG, FL 33701
Pinellas County (727) 767-3318
BRITTANY EASTER BOWER ARNP
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4313
DR. DERECK DAVY PHRATHEP PH.D.
Psychologist
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4170
TARA MORDER
Nurse Practitioner (Neonatal)
501 6TH AVE S
ST PETERSBURG, FL 33701
Pinellas County (727) 767-4313

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 Prem Fort's NPI number?

The NPI number for Prem Fort is 1639345580. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Prem Fort located?

Prem Fort practices at 501 6th Ave S, St Petersburg, FL 33701. The listed phone number is (727) 767-4313.

What is Prem Fort's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Prem Fort was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.