| Evara Health | |
|
1260 S Martin Luther King Jr Ave Clearwater FL 33756-4172 | |
| (727) 824-8181 | |
| (727) 286-6224 |
| Full Name | Evara Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1260 S Martin Luther King Jr Ave, Clearwater, Florida |
| Authorized Official Name and Position | Edward Kucher (CHIEF REGULATORY OFFICER) |
| Authorized Official Contact | 7278248100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evara Health 14100 58th St N Clearwater FL 33760-9900 Ph: (727) 824-8181 | Evara Health 1260 S Martin Luther King Jr Ave Clearwater FL 33756-4172 Ph: (727) 824-8181 |
| NPI Number | 1609586098 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 10/17/2024 |
| Medicare PECOS PAC ID | 8527961028 |
|---|---|
| Medicare Enrollment ID | O20240227002769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609586098 | NPI | - | NPPES |
| 029565539 | Medicaid | FL | |
| 029565541 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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