Provider Demographics
NPI:1629640313
Name:CONTINENTAL LIFESTYLE MEDICINE, PLLC
Entity Type:Organization
Organization Name:CONTINENTAL LIFESTYLE MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:DEL ROSARIO
Authorized Official - Last Name:ALZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-800-9705
Mailing Address - Street 1:2672 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-1108
Mailing Address - Country:US
Mailing Address - Phone:727-800-9705
Mailing Address - Fax:727-800-9806
Practice Address - Street 1:2672 1ST AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-1108
Practice Address - Country:US
Practice Address - Phone:727-800-9705
Practice Address - Fax:727-800-9806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty