Individual
DR. CLYDE HAMILTON MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3251 3RD AVE N, ST PETERSBURG, FL 33713-8506
(727) 321-3854
(727) 327-7670
Mailing address
3251 3RD AVE N, ST PETERSBURG, FL 33713-8506
(727) 321-3854
(727) 327-7670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME63178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18759
BCBS
FL
05
—
260480900
—
FL
01
—
930100653
RR MEDICARE
FL
Enumeration date
06/20/2006
Last updated
06/18/2019
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