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ST. PETERSBURG VA CBOC
NPI 1801835764
Clinic/Center - VA in St Petersburg, FL

Active since June 06, 2006
840 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33705(866) 793-4591 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2023, Feb 16, 2017 (2 updates tracked since 2017).

About St. Petersburg Va Cboc NPPES

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

ST. PETERSBURG VA CBOC (NPI 1801835764) is a healthcare organization registered as a va in St Petersburg, Florida and active in the NPI registry since June 2006. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1801835764
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameBAY PINES VAMC
Location Address840 DR MARTIN LUTHER KING JR ST NSt Petersburg, FL 33705-1214
Mailing AddressPo Box 94465Cleveland, OH 44101-4465 · (866) 793-4591
Phone(866) 793-4591
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJune 6, 2006
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1801835764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
840 DR MARTIN LUTHER KING JR ST N, St Petersburg, FL 33705
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Other Names 1

Other NameSt. Petersburg Va Cboc

Other Providers at the Same Location NPPES 3

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

STEPHANIE ANN KURTZ MD
Pediatrics (Pediatric Cardiology)
840 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG, FL 33705
Pinellas County (727) 767-4200
MS. STEPHANIE MARGARET MIRSKY MSN, ARNP, CPNP-PC
Nurse Practitioner (Pediatrics)
840 DR MARTIN LUTHER KING JR ST N, SUITE 100
ST PETERSBURG, FL 33705
Pinellas County (727) 767-4200
RICHARD M MARTINEZ M.D.
Pediatrics (Pediatric Cardiology)
840 DR MARTIN LUTHER KING JR ST N, 100
ST PETERSBURG, FL 33705
Pinellas County (727) 767-4200

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 Bay Pines Vamc's NPI number?

The NPI number for Bay Pines Vamc is 1801835764. It was assigned to this organization in the NPPES registry on June 6, 2006. The provider is also known as St. Petersburg VA Cboc.

Where is Bay Pines Vamc located?

Bay Pines Vamc is located at 840 Dr Martin Luther King Jr St N, St Petersburg, FL 33705. The listed phone number is (866) 793-4591.

What is Bay Pines Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Bay Pines Vamc was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.