# NEW ERA MEDICAL PLLC

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

## Provider details

- **NPI number:** 1902412786
- **Authorized official:** JARED ROSCOE (MEDICAL PROVIDER)
- **Authorized official phone:** (727) 601-7778

## Contact information

- **Practice address:** 628 CLEVELAND ST STE A, CLEARWATER, FL 33755-6603
- **Practice address phone:** (727) 601-7778
- **Mailing address:** 650 CLEVELAND ST UNIT 1972, CLEARWATER, FL 33757-8120

## Taxonomy

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

## Other

- **Enumeration date:** 09/17/2020
- **Last updated:** 09/17/2020