Clear Path Clinic | |
3177 4th St N Saint Petersburg FL 33704-2124 | |
(877) 585-2955 | |
Not Available |
Full Name | Clear Path Clinic |
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Speciality | Internal Medicine |
Location | 3177 4th St N, Saint Petersburg, Florida |
Authorized Official Name and Position | Pierre Andres Puente (PRESIDENT) |
Authorized Official Contact | 8775852955 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clear Path Clinic 200 2nd Ave S # 224 Saint Petersburg FL 33701-4313 Ph: () - | Clear Path Clinic 3177 4th St N Saint Petersburg FL 33704-2124 Ph: (877) 585-2955 |
NPI Number | 1962926659 |
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Provider Enumeration Date | 08/03/2017 |
Last Update Date | 03/17/2018 |
Medicare PECOS PAC ID | 9537422365 |
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Medicare Enrollment ID | O20180410000141 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962926659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME93560 (Florida) | Primary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
Provider Name | Pierre A Puente |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376836197 PECOS PAC ID: 6800817644 Enrollment ID: I20051208000603 |
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