Provider Demographics
NPI:1366452179
Name:PINELLAS CRISIS PREGNANCY CENTER
Entity Type:Organization
Organization Name:PINELLAS CRISIS PREGNANCY CENTER
Other - Org Name:PREGNANCY CENTER OF PINELLAS COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-545-8100
Mailing Address - Street 1:8001 66TH ST
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-2108
Mailing Address - Country:US
Mailing Address - Phone:727-545-8100
Mailing Address - Fax:727-548-4357
Practice Address - Street 1:8001 66TH ST
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-2108
Practice Address - Country:US
Practice Address - Phone:727-545-8100
Practice Address - Fax:727-548-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84606207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty