| Clearmedica Medical Centers, Llc | |
|
675 S Kings Ave Brandon FL 33511-6048 | |
| (813) 588-5123 | |
| (866) 611-7057 |
| Full Name | Clearmedica Medical Centers, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 675 S Kings Ave, Brandon, Florida |
| Authorized Official Name and Position | Glorimar Gonzalez Samot (OWNER) |
| Authorized Official Contact | 8135885123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearmedica Medical Centers, Llc Po Box 5618 Lakeland FL 33807-5618 Ph: () - | Clearmedica Medical Centers, Llc 675 S Kings Ave Brandon FL 33511-6048 Ph: (813) 588-5123 |
| NPI Number | 1386344273 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 3971961079 |
|---|---|
| Medicare Enrollment ID | O20230622000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386344273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carlos M Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356322234 PECOS PAC ID: 5395825285 Enrollment ID: I20080104000232 |
| Provider Name | Glorimar Gonzalez Samot |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700111614 PECOS PAC ID: 3274662291 Enrollment ID: I20160812000468 |
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