| Willa Carson Health Resource Center | |
|
1108 N Martin Luther King Jr Ave Clearwater FL 33755-3222 | |
| (727) 467-9411 | |
| (727) 467-2771 |
| Full Name | Willa Carson Health Resource Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1108 N Martin Luther King Jr Ave, Clearwater, Florida |
| Authorized Official Name and Position | Annie M. Tyrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7274679411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willa Carson Health Resource Center 1108 N Martin Luther King Jr Ave Clearwater FL 33755-3222 Ph: (727) 467-9411 | Willa Carson Health Resource Center 1108 N Martin Luther King Jr Ave Clearwater FL 33755-3222 Ph: (727) 467-9411 |
| NPI Number | 1821320383 |
|---|---|
| Provider Enumeration Date | 02/09/2010 |
| Last Update Date | 02/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821320383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Florida) | Primary |
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