# TAMPA BAY UVEITIS CENTER LLC

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

## Provider details

- **NPI number:** 1992188015
- **Authorized official:** DR. GRACE LEVY-CLARKE MD (DIRECTOR)
- **Authorized official phone:** (727) 317-5830

## Contact information

- **Practice address:** 5800 49TH ST N STE S108, ST PETERSBURG, FL 33709-2146
- **Practice address phone:** (727) 317-5830
- **Practice address fax:** (888) 539-6488
- **Mailing address:** 1703 N MCMULLEN BOOTH RD UNIT 764, SAFETY HARBOR, FL 34695-9630
- **Mailing address phone:** (727) 317-5830
- **Mailing address fax:** (888) 539-6488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME99689 | FL | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 06/12/2020