Organization
BREATHE EASY PULMONARY SERVICES INC
Active
Other names
Clinicare Diagnostic Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN JOHNS (CEO)
(727) 796-2904
Entity
Organization
Contact information
Practice address
2112 SUNNYDALE BLVD STE B, CLEARWATER, FL 33765-1207
(727) 796-2904
(727) 796-2965
Mailing address
PO BOX 16264, CLEARWATER, FL 33766-6264
(727) 796-2904
(727) 796-2965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V2271
BCBS
FL
Enumeration date
04/06/2006
Last updated
05/21/2020
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