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Organization

CLAR AND GRACE MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY BROOME ARNP (OWNERE)
(813) 546-2713
Entity
Organization

Contact information

Practice address
38439 5TH AVE, PMB 174, ZEPHYRHILLS, FL 33542-4328
(813) 456-2713
Mailing address
38439 5TH AVE, PMB 174, ZEPHYRHILLS, FL 33542-4328
(813) 456-2713

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
04/16/2021
Last updated
04/16/2021
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