Organization
CLAR AND GRACE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY BROOME ARNP (CEO)
(813) 546-2713
Entity
Organization
Contact information
Practice address
38439 5TH AVE, ZEPHYRHILLS, FL 33542-3540
(813) 546-2713
Mailing address
38439 5TH AVE # 174, ZEPHYRHILLS, FL 33542-4328
(813) 546-2713
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2021
Last updated
05/07/2021
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