Individual
MATTHEW CLAVENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756-3313
(727) 216-0700
(727) 216-0704
Mailing address
3190 N MCMULLEN BOOTH RD, STE 100, CLEARWATER, FL 33761-2013
(727) 216-0700
(727) 216-0704
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME128445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17487300
—
FL
Enumeration date
04/16/2009
Last updated
10/05/2016
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