| Chronic Complex Clinic | |
|
3003 W Dr Martin Luther King Jr Blvd Fl 3 Tampa FL 33607-6307 | |
| (813) 554-8097 | |
| (813) 554-8976 |
| Full Name | Chronic Complex Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3003 W Dr Martin Luther King Jr Blvd Fl 3, Tampa, Florida |
| Authorized Official Name and Position | Lynda Gorken (VP PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 7272819202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chronic Complex Clinic 2995 Drew St Fl 2 Clearwater FL 33759-3012 Ph: (727) 281-9065 | Chronic Complex Clinic 3003 W Dr Martin Luther King Jr Blvd Fl 3 Tampa FL 33607-6307 Ph: (813) 554-8097 |
| NPI Number | 1740901578 |
|---|---|
| Provider Enumeration Date | 09/09/2022 |
| Last Update Date | 10/07/2022 |
| Medicare PECOS PAC ID | 1658274287 |
|---|---|
| Medicare Enrollment ID | O20230209001805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740901578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Colleen E Bartlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265750996 PECOS PAC ID: 3870754096 Enrollment ID: I20120416000638 |
| Provider Name | Stephen D Mayper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598150518 PECOS PAC ID: 3274861240 Enrollment ID: I20190829000400 |
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