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CLINICAL RHEUMATOLOGIST LLC NPI 1528345873


NPI Information

NPI: 1528345873
Provider Name: CLINICAL RHEUMATOLOGIST, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2179881

Address:
8322 N HABANA AVE
TAMPA, FL
ZIP 33614
Phone: (813) 908-5658
Get Directions

CLINICAL RHEUMATOLOGIST, LLC is a clinic center in Tampa, FL. The provider is 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). CLINICAL RHEUMATOLOGIST, LLC NPI is 1528345873. The provider is registered as an organization entity type.

The provider's business location address is:

8322 N HABANA AVE
TAMPA, FL
ZIP 33614-819
Phone: (813) 908-5658
Fax: (813) 908-5067

The provider's authorized official is Charles Lee Clay Clay .
The authorized official title is Managing Partner and has the following contact phone number (813) 908-5658.

The CLIA number assigned to this NPI record is 10D2179881 - other - research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 6/24/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterOS0007192FLORIDAYes

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: 5/5/2024

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