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CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS MD PA NPI 1659396133


NPI Information

NPI: 1659396133
Provider Name: CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS MD PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D0965058

Address:
455 PINELLAS STREET
SUITE 400
CLEARWATER, FL
ZIP 33756
Phone: (727) 445-1911
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CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS MD PA is a cardiovascular disease internal medicine in Clearwater, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS MD PA NPI is 1659396133. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

455 PINELLAS STREET
SUITE 400
CLEARWATER, FL
ZIP 33756-356
Phone: (727) 445-1911
Fax: (727) 445-1986

The provider's authorized official is Frederic R Simmons .
The authorized official title is Chief Executive Officer and has the following contact phone number (727) 445-1992.

The CLIA number assigned to this NPI record is 10D0965058 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 4/8/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1057111300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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