Organization
COMMUNITY HEALTH CENTERS OF PINELLAS INC.
Active
Other names
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
12420 130TH AVE, LARGO, FL 33774-1950
(727) 587-7729
(727) 587-7739
Mailing address
14100 58TH ST N STE 100, CLEARWATER, FL 33760-9900
(727) 824-8126
(727) 824-8166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029565512
—
FL
05
—
029565513
—
FL
Enumeration date
01/03/2006
Last updated
10/09/2025
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