DEVRIES FAMILY MEDICINE PROFESSIONAL ASSOCIATION (NPI# 1063752301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063752301 |
| Entity Type | Organization |
| Organization Name | DEVRIES FAMILY MEDICINE PROFESSIONAL ASSOCIATION |
| Other Organization Name | DR. BENJAMIN DEVRIES DO |
| Practice Address |
1573 S Fort Harrison Ave Clearwater FL 33756-2004 |
| Practice Telephone | 7275848777 |
| Practice Fax Number | 7272166117 |
| Mailing Telephone | 7275848777 |
| Mailing Fax Number | 7272166117 |
| Enumeration Date | 2013-02-24 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | DR. BENJAMIN R DEVRIES (PRESIDENT) |
| Authorized Official Telephone | 7275848777 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | OS11511 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dr. Benjamin DeVries DO | Other Name - Individual/Organization |
| Street Address |
1573 S FORT HARRISON AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316975907 | Miguel E Trevino Md Pa | Internal Medicine | 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 | 2006-06-30 |
| 1558916494 | Benjamin Devries Do LLC | Clinic/Center | 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 | 2019-08-07 |
| 1306191028 | Timothy L. Light D.o., P.a. | Family Medicine | 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 | 2012-07-18 |
| 1912215807 | Timothy Lee Light | Family Medicine | 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 | 2010-09-14 |
| 1164738159 | Benjamin Devries | Family Medicine | 1573 S Fort Harrison Ave, Clearwater, FL 33756 | 2010-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1255804290 | Greenbrook Tms Clearwater LLC | Clinic/Center | 2963 Gulf To Bay Blvd Ste 250, Clearwater, FL 33759-4255 | 2019-01-02 |
| 1881121473 | Kingdom Chiropractic | Clinic/Center | 1484 Gulf To Bay Blvd, Clearwater, FL 33755-5358 | 2017-05-15 |
| 1831579564 | Clearwater Headache Center, LLC | Clinic/Center | 1289 Court St, Clearwater, FL 33756-5807 | 2015-06-08 |
| 1821320383 | Willa Carson Health Resource Center | Clinic/Center | 1108 N Martin Luther King Jr Ave, Clearwater, FL 33755-3222 | 2010-02-09 |
| 1720118185 | Dolphin Diagnostics, Inc | Clinic/Center | 1700 N Mcmullen Booth Rd Ste C5, Clearwater, FL 33759-2129 | 2007-03-06 |
| 1760518526 | Miller Chiropractic & Medical Centers, Inc. | Clinic/Center | 3085 Roosevelt Blvd, Clearwater, FL 33760-3468 | 2007-02-26 |
| 1619058641 | Mid Pinellas Medical Center Inc | Clinic/Center | 1531 S Missouri Ave, Clearwater, FL 33756-2236 | 2006-10-18 |
| 1033228648 | Lifeworks Wellness Center, LLC | Clinic/Center | 301 Turner St, Clearwater, FL 33756-5326 | 2006-08-29 |
| 1558916494 | Benjamin Devries Do LLC | Clinic/Center | 1573 S Fort Harrison Ave, Clearwater, FL 33756-2004 | 2019-08-07 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on DEVRIES FAMILY MEDICINE PROFESSIONAL ASSOCIATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.