CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS (NPI# 1467778381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467778381 |
| Entity Type | Organization |
| Organization Name | CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS |
| Practice Address |
1840 Mease Dr Suite 202 Safety Harbor FL 34695-6602 |
| Mailing Address |
455 Pinellas St Suite 400 Clearwater FL 33756-3354 |
| Practice Telephone | 7277256246 |
| Practice Fax Number | 7277265865 |
| Mailing Telephone | 7274451992 |
| Mailing Fax Number | 7274451993 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |
| Authorized Official Name | MR. FREDERIC R SIMMONS JR. (CEO) |
| Authorized Official Telephone | 7274451992 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 057111300 | 05 |
| Street Address |
1840 MEASE DR SUITE 202 |
| City | SAFETY HARBOR |
| State | FL |
| Zip Code | 34695-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861121 | Robert T Roth | Surgery | 1840 Mease Dr, Suite 301, Safety Harbor, FL 34695-6602 | 2005-06-20 |
| 1336751114 | Daniela Lomba | Nurse Practitioner | 1840 Mease Dr, Safety Harbor, FL 34695-6602 | 2020-08-21 |
| 1407201346 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6602 | 2016-04-28 |
| 1720442940 | Jackson E. Tillquist | Registered Nurse | 1840 Mease Dr, Suite 200, Safety Harbor, FL 34695-6602 | 2016-04-13 |
| 1326444092 | Margaret Lukez | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6605 | 2014-11-07 |
| 1518370345 | Countryside Pediatric Care, P.a. | Pediatrics | 1840 Mease Dr, Suite: 405, Safety Harbor, FL 34695-6602 | 2014-06-10 |
| 1679907042 | Christina Laura Marcucci | Physician Assistant | 1840 Mease Dr, Ste 300, Safety Harbor, FL 34695-6602 | 2013-08-21 |
| 1043551328 | Lisa Marie Lauderdale | Nurse Practitioner | 1840 Mease Dr, Suite 402, Safety Harbor, FL 34695-6602 | 2013-03-11 |
| 1922346816 | James P Desmarais | Nurse Practitioner | 1840 Mease Dr, Suite 319, Safety Harbor, FL 34695-6602 | 2013-01-28 |
| 1073851531 | Rajani Medical Group LLC | Internal Medicine | 1840 Mease Dr, Ste 401b, Safety Harbor, FL 34695-6602 | 2013-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931071 | Joli Beauchamp | Occupational Therapy Assistant | 1410 Dr Martin Luther King Jr St. North, Safety Harbor, FL 34695 | 2018-08-14 |
| 1912494733 | Bryan Singleton | Occupational Therapist | 1410 Dr. M, Dr Martin Luther King Jr Street North, Safety Harbor, FL 34695 | 2018-04-17 |
| 1639673007 | Jessica Rojas | Occupational Therapy Assistant | 1410 Dr. Martin Luther King St N, Safety Harbor, FL 34695 | 2018-03-21 |
| 1326547365 | Heather Anne Ramous | Nurse Practitioner | 1840 Mease Dr Ste 307, Safety Harbor, FL 34695 | 2018-02-05 |
| 1922531730 | Jessica Robin Sternberg | Physical Therapy Assistant | 1410 Dr. Martin Luther King Jr. Street North, Safety Harbor, FL 34695 | 2017-04-07 |
| 1861863102 | Pamela Guida | Physical Therapy Assistant | 1410 Dr M L King Jr St N, Safety Harbor, FL 34695 | 2015-10-13 |
| 1962888792 | Lauren Ramos | Nurse Practitioner | 1840 Mease Dr., Suite 204, Palm Harbor, FL 34695 | 2015-08-04 |
| 1306285010 | Paulas Madhusudan Vyas | Urology | 1840 Mease Dr Ste 300, Safety Harbor, FL 34695 | 2013-06-17 |
| 1871803643 | Bridget Stirling Tyrka | Contractor | 1045 3rd St N, Safety Harbor, FL 34695 | 2010-10-14 |
| 1326211574 | Helen L. Techler | Audiologist | 583 Main Street, Suite A, Safety Harbor, FL 34695 | 2008-04-09 |
| Find all providers in zip 34695 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407201346 | Advanced Urology Institute | Non-Pharmacy Dispensing Site | 1840 Mease Dr, Suite 300, Safety Harbor, FL 34695-6602 | 2016-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | SAFETY HARBOR |
| Zip Code | 34695 |
Please comment or provide details below to improve the information on CLEARWATER CARDIOVASCULAR & INTERVENTIONAL CONSULTANTS.
| 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.