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CLEARWATER FAMILY PRACTICE PA NPI 1770602039


NPI Information

NPI: 1770602039
Provider Name: CLEARWATER FAMILY PRACTICE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1217 EWING AVE
CLEARWATER, FL
ZIP 33756
Phone: (727) 446-3021
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CLEARWATER FAMILY PRACTICE, PA is a family medicine in Clearwater, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CLEARWATER FAMILY PRACTICE, PA NPI is 1770602039. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1217 EWING AVE
CLEARWATER, FL
ZIP 33756-407
Phone: (727) 446-3021
Fax: (727) 446-7423

The provider's authorized official is Cesar Agusto Lara .
The authorized official title is Owner and has the following contact phone number (727) 446-3021.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 12/8/2010.


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
1207Q00000XFamily MedicineME0060883FLORIDAYes

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
1E19237MEDICARE UPINFLORIDA
2K0260MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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