Organization
CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA
Active
Organization
CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN B MAIR (CHIEF EXECUTIVE OFFICER)
(727) 445-1992
Entity
Organization
Contact information
Practice address
455 PINELLAS STREET, SUITE 400, CLEARWATER, FL 33756-3356
(727) 445-1911
(727) 445-1986
Mailing address
455 PINELLAS ST STE 400, CLEARWATER, FL 33756-3356
(727) 445-1992
(727) 445-1993
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119872600
—
FL
05
—
119872601
—
FL
Enumeration date
07/13/2006
Last updated
03/03/2026
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