Organization
COMMUNITY HEALTH CENTERS OF PINELLAS INC.
Active
Other names
Evara Health at Countryside, Evara Health
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KUCHER (CHIEF REGULATORY OFFICER)
(727) 824-8100
Entity
Organization
Contact information
Practice address
26286 US HIGHWAY 19 N STE B, CLEARWATER, FL 33761-4506
(727) 824-8100
Mailing address
14100 58TH ST N STE 100, CLEARWATER, FL 33760-9900
(727) 824-8181
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029565529
—
FL
05
—
029565530
—
FL
Enumeration date
03/01/2019
Last updated
10/09/2025
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