Organization
CLEARWATER MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISOV VITALIV (OWNER)
(727) 754-4341
Entity
Organization
Contact information
Practice address
4707 140TH AVE N STE 312, CLEARWATER, FL 33762
(727) 754-4341
Mailing address
4707 140TH AVE N STE 312, CLEARWATER, FL 33762-3841
(727) 754-4341
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
03/02/2019
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