Medmark Treatment Centers Clearwater | |
13700 58th St N Building 2, Suite 201 Clearwater FL 33760-3757 | |
(727) 223-3545 | |
Not Available |
Full Name | Medmark Treatment Centers Clearwater |
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Speciality | Clinic/Center |
Location | 13700 58th St N, Clearwater, Florida |
Authorized Official Name and Position | Bruce Jarvie (VP, TREASURER) |
Authorized Official Contact | 2143793300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medmark Treatment Centers Clearwater 1720 Lakepointe Dr Ste 117 Lewisville TX 75057-6425 Ph: (469) 470-4779 | Medmark Treatment Centers Clearwater 13700 58th St N Building 2, Suite 201 Clearwater FL 33760-3757 Ph: (727) 223-3545 |
NPI Number | 1992162879 |
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Provider Enumeration Date | 01/22/2016 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Medicare PECOS PAC ID | 5698135655 |
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Medicare Enrollment ID | O20230721002652 |
Identifier | Type | State | Issuer |
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1992162879 | NPI | - | NPPES |
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