Individual
CLACCI CAPRI HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 27TH AVE S, SAINT PETERSBURG, FL 33705-3441
(727) 580-2314
Mailing address
1500 27TH AVE S, SAINT PETERSBURG, FL 33705-3441
(727) 580-2314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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