USCG AIR STATION CLEARWATER NPI 1609950674

NPI Information

USCG AIR STATION CLEARWATER is a health service clinic center in Clearwater, FL. USCG AIR STATION CLEARWATER NPI is 1609950674. The provider is registered as an organization entity type.
The provider Other Name Is Uscg Airstation Clearwater Health Services Division.

The provider's business location address is:

15100 RESCUE WAY
CLEARWATER, FL
ZIP 33762
Phone: (727) 535-1437
Fax: (727) 535-4190

The provider's authorized official is William Stanley Perry .
The authorized official title is Clinic Administrator and has the following contact phone number (727) 535-1437.

The CLIA number assigned to this NPI record is 10D0666406 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 9/24/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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