| Harperco Llc | |
|
300 Pinellas St Clearwater FL 33756 | |
| (727) 324-3002 | |
| Not Available |
| Full Name | Harperco Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 300 Pinellas St, Clearwater, Florida |
| Authorized Official Name and Position | Tiffany H Green (OWNER) |
| Authorized Official Contact | 7273243002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harperco Llc 650 Cleveland St Unit 992 Clearwater FL 33757-8288 Ph: () - | Harperco Llc 300 Pinellas St Clearwater FL 33756 Ph: (727) 324-3002 |
| NPI Number | 1447928312 |
|---|---|
| Provider Enumeration Date | 09/03/2021 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Medicare PECOS PAC ID | 4385036532 |
|---|---|
| Medicare Enrollment ID | O20220119003154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447928312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Tiffany H Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154709384 PECOS PAC ID: 4385063403 Enrollment ID: I20200923000897 |
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