Devries Family Medicine Professional Association

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

OS11511 Issued in FL

Legal business name

DEVRIES FAMILY MEDICINE PROFESSIONAL ASSOCIATION

Practice address

1573 S Fort Harrison Ave
Clearwater, FL 33756-2004

Phone

(727) 584-8777

Fax

(727) 216-6117

NPI assigned

Feb 24, 2013

Last updated

May 24, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Benjamin R Devries, DO

Title

President

Phone

(727) 584-8777

Specialties & licenses 1

Addresses

Other names 1

• Dr. Benjamin DeVries DO Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1063752301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1573 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562004",
            "telephone_number": "727-584-8777",
            "fax_number": "727-216-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1573 S FORT HARRISON AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337562004",
            "telephone_number": "727-584-8777",
            "fax_number": "727-216-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVRIES FAMILY MEDICINE PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-584-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "OS11511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Benjamin DeVries DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devito Consulting, Inc.
• Devito Orthodontics, PA
• Catherine Frances Devito, CRNA
• Michael J. Devito, D.D.S,
• Christopher E Devitt
• Benjamin Devries, DO
• Jodi N Devries, CRNA
• Devaki V. Dewan, M. D.
• Naakesh A Dewan, M.D.
• Tabitha Jean Dewolf

• Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.