# CLEARWATER ORTHOPEDIC & SPORTS MEDICINE INC

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

## Provider details

- **NPI number:** 1306041421
- **Authorized official:** DR. JOHN NICHOLAS HARKER DO (PRESIDENT)
- **Authorized official phone:** (727) 562-9317

## Contact information

- **Practice address:** 701 N HERCULES AVE STE A, CLEARWATER, FL 33765-2029
- **Practice address phone:** (727) 562-9317
- **Mailing address:** 701 N HERCULES AVE STE A, CLEARWATER, FL 33765-2029
- **Mailing address phone:** (727) 562-9317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | OS0006819 | FL | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 02/22/2008