| Square 1 Clinics, Inc | |
|
1212 Court St Clearwater FL 33756-5004 | |
| (727) 351-7239 | |
| Not Available |
| Full Name | Square 1 Clinics, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1212 Court St, Clearwater, Florida |
| Authorized Official Name and Position | Lambert Wayne Leroux (CHAIRMAN) |
| Authorized Official Contact | 7274804981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Square 1 Clinics, Inc 1212 Court St Clearwater FL 33756-5004 | Square 1 Clinics, Inc 1212 Court St Clearwater FL 33756-5004 Ph: (727) 351-7239 |
| NPI Number | 1184258832 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 07/01/2021 |
| Certification Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184258832 | NPI | - | NPPES |
| 1062121-00 | Medicaid | FL |
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