| Casa Clinic LLC | |
|
13920 58th St N Ste 1006 Clearwater FL 33760-3770 | |
| (813) 600-9981 | |
| Not Available |
| Full Name | Casa Clinic LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13920 58th St N Ste 1006, Clearwater, Florida |
| Authorized Official Name and Position | Theophilus Sai (MEMBER) |
| Authorized Official Contact | 8136009981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Clinic LLC 3218 W Horatio St Tampa FL 33609-3028 Ph: (813) 600-9981 | Casa Clinic LLC 13920 58th St N Ste 1006 Clearwater FL 33760-3770 Ph: (813) 600-9981 |
| NPI Number | 1679151708 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 03/30/2021 |
| Certification Date | 03/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679151708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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