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Organization

CLINICARE CLINICAL 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
(866) 961-5586
Mailing address
PO BOX 16264, CLEARWATER, FL 33766-6264
(727) 796-2904
(727) 796-2965

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010Y
FLORIDA BLUE CROSS
FL
01
HCC8722
FLORIDA AHCA HEALTHCARE CLINIC LICENSE
FL
Enumeration date
06/11/2006
Last updated
09/05/2021
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