# ATLANTIS CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194565119
- **Authorized official:** HOWARD NELSON CHIPMAN MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (813) 476-2321

## Contact information

- **Practice address:** 1500 N MCMULLEN BOOTH RD STE A1, CLEARWATER, FL 33759-2541
- **Practice address phone:** (727) 266-1266
- **Mailing address:** 1500 N MCMULLEN BOOTH RD STE A1, CLEARWATER, FL 33759-2541
- **Mailing address phone:** (727) 266-1266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/28/2024
- **Last updated:** 11/13/2024