WILLA CARSON HEALTH AND WELLNESS CENTER (NPI# 1902180789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902180789 |
| Entity Type | Organization |
| Organization Name | WILLA CARSON HEALTH AND WELLNESS CENTER |
| Practice Address |
1108 N Martin Luther King Jr Ave Clearwater FL 33755-3222 |
| Practice Telephone | 7274679411 |
| Practice Fax Number | 7274672771 |
| Mailing Telephone | 7274679411 |
| Mailing Fax Number | 7274672771 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | ANNIE TYRELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7274679411 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1108 N MARTIN LUTHER KING JR AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33755-3222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821320383 | Willa Carson Health Resource Center | Clinic/Center | 1108 N Martin Luther King Jr Ave, Clearwater, FL 33755-3222 | 2010-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861858987 | Leslie S Coley | Specialist | 1484 Gulf To Bay Blvd Unit 4, Clearwater, FL 33755 | 2016-01-05 |
| 1336567981 | Trish French | Social Worker | 117 N Betty Ln, Clearwater, FL 33755 | 2014-04-01 |
| 1255629986 | Gulf Coast Occupational & Wellness Center, P.C. | Clinic/Center | 1407 Gulf -to-bay Blvd., Clearwater, FL 33755 | 2011-07-15 |
| 1346560729 | Narconon Suncoast, Inc | Substance Abuse Rehabilitation Facility | 1390 Sunset Point Road, Clearwater, FL 33755 | 2010-06-08 |
| 1588994503 | Rose Mary Baker | Custodial Care Facility | 1305 Woodbine St, Clearwater, FL 33755 | 2010-01-14 |
| 1407185317 | Ade Kanmbi Alaba | Pharmacist | 1438 Gulf-to-bay Blvd, Clearwater, FL 33755 | 2009-12-24 |
| 1184706921 | Brandy Jo Jennings | Dental Hygienist | 1455 Sunset Point Road, Clearwater, FL 33755 | 2006-10-20 |
| 1922013408 | Hays S Estes Dpt Pllc | Clinic/Center | 1661 Rainbow Dr, Clearwater, FL 33755 | 2006-07-30 |
| 1932145323 | Eric Isaac Egozi | Plastic Surgery | 1608 Gulf To Bay Blvd, Clearwater, FL 33755 | 2006-06-22 |
| 1053304022 | Robert Donnelly | Orthopaedic Surgery | 1660 Gulf To Bay Blvd, Clearwater, FL 33755 | 2005-08-25 |
| Find all providers in zip 33755 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1235251950 | George Henry Coupe | General Practice | 1320 So Belcher Rd, Clearwater, FL 33764 | 2007-04-04 |
| 1427026574 | Elizabeth Marjorie Arboleda | General Practice | 310 N Myrtle Ave, Clearwater, FL 33755-4431 | 2006-03-14 |
| 1699147116 | Divine Aging, LLC | General Practice | 2325 Ulmerton Rd, Suite 19, Clearwater, FL 33762-2282 | 2015-10-23 |
| 1336537331 | American Integrative Health | General Practice | 1001 S Fort Harrison Ave, Suite 200, Clearwater, FL 33756-3941 | 2014-12-30 |
| 1821401191 | Florida Wellness Institute of Pinellas County, LLC | General Practice | 1000 S Fort Harrison Ave, Suite A, Clearwater, FL 33756-3906 | 2014-06-04 |
| 1275979700 | Pain Dx Solutions of Florida, LLC | General Practice | 24945 Us Highway 19 N, Clearwater, FL 33763-3927 | 2013-05-10 |
| 1669817516 | Empath Community Health LLC | General Practice | 5771 Roosevelt Blvd, Clearwater, FL 33760-3407 | 2013-05-06 |
| 1568774479 | Sandbay Family Practice, L.L.C. | General Practice | 2086 Gulf To Bay Blvd, Clearwater, FL 33765-3714 | 2010-07-08 |
| 1952546798 | All In One Medical Care | General Practice | 24945 Us Highway 19 N, Clearwater, FL 33763-3927 | 2008-12-09 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33755 |
Please comment or provide details below to improve the information on WILLA CARSON HEALTH AND WELLNESS CENTER.
| 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.