CLEARWATER MEDICAL AND CONSULTING LLC (NPI# 1154767135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154767135 |
| Entity Type | Organization |
| Organization Name | CLEARWATER MEDICAL AND CONSULTING LLC |
| Other Organization Name | INJURY HEALTH CENTER |
| Practice Address |
6166 Seminole Blvd Seminole FL 33772-6835 |
| Mailing Address |
Po Box 272849 Tampa FL 33688-2849 |
| Practice Telephone | 7274957246 |
| Practice Fax Number | 7274957247 |
| Mailing Telephone | 8133359669 |
| Mailing Fax Number | 8137934690 |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2014-03-26 |
| Authorized Official Name | DR. DOUGLAS PHILIP CLEARWATER (PRESIDENT) |
| Authorized Official Telephone | 8133359669 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH8998 | FL | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Injury Health Center | Doing Business As Name - Organization |
| Street Address |
6166 SEMINOLE BLVD |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772-6835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205927373 | Jaime L Kean | Chiropractor | 6166 Seminole Blvd, Seminole, FL 33772-6835 | 2006-09-27 |
| 1972970481 | Dianne M Fernandez Dc Pa | Chiropractor | 6166 Seminole Blvd, Seminole, FL 33772-6835 | 2015-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824194 | Michael Abenoja | Chiropractor | 9824 83rd Street, Seminole, FL 33777 | 2019-08-01 |
| 1114412962 | Seminole Care & Rehab Center, Inc. | Chiropractor | 10875 Park Blvd Ste B1, Seminole, FL 33772-5456 | 2018-06-25 |
| 1720512734 | Achieve Health & Chiropractic LLC | Chiropractor | 9968 Indian Key Trl, Seminole, FL 33776-1074 | 2017-04-17 |
| 1346692522 | Carie Cutting | Chiropractor | 11881 106th Ct, Seminole, FL 33778-3645 | 2016-07-12 |
| 1750618245 | Integrative Chiropractic Fusion | Chiropractor | 9564 118th Ln, Seminole, FL 33772-2705 | 2009-11-04 |
| 1093979247 | Ruth E. Bradley | Chiropractor | 13022 Hibiscus Ave, Seminole, FL 33776-4315 | 2008-07-16 |
| 1679695712 | Calvin Lee Nelson Jr. | Chiropractor | 1117 N Milt Phillips Ave, Seminole, OK 74868-2321 | 2007-04-06 |
| 1588705586 | Joseph S Maddox Jr. | Chiropractor | 8760 Seminole Blvd, Seminole, FL 33772-3810 | 2007-02-11 |
| 1740341494 | Sean Sharp | Chiropractor | 9011 Park Blvd Ste 209, Seminole, FL 33777-4123 | 2006-12-13 |
| 1568537850 | Dr C H Lacoste Pa | Chiropractor | 11206 Park Blvd, Seminole, FL 33772-4752 | 2006-11-21 |
| Find all providers in SEMINOLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.