Provider Demographics
NPI:1871641613
Name:PINELLAS COUNTY BOARD OF COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:PINELLAS COUNTY BOARD OF COUNTY COMMISSIONERS
Other - Org Name:PINELLAS COUNTY HUMAN SERVICES DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-464-8410
Mailing Address - Street 1:2189 CLEVELAND ST
Mailing Address - Street 2:STE 266
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33765-3244
Mailing Address - Country:US
Mailing Address - Phone:727-464-8410
Mailing Address - Fax:727-464-8454
Practice Address - Street 1:647 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3601
Practice Address - Country:US
Practice Address - Phone:727-582-7595
Practice Address - Fax:727-582-7228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare