Tampa Bay Uveitis Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME99689 Issued in FL

Legal business name

TAMPA BAY UVEITIS CENTER

Practice address

3001 Eastland Blvd
Suite 1
Clearwater, FL 33761-4104

Phone

(727) 862-3090

Fax

(727) 862-3023

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Grace A Levy Clarke, MD

Title

Owner

Phone

(727) 862-3090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1225468390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "SUITE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-862-3090",
            "fax_number": "727-862-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EASTLAND BLVD",
            "address_2": "SUITE 1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614104",
            "telephone_number": "727-862-3090",
            "fax_number": "727-862-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY UVEITIS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "LEVY CLARKE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-862-3090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME99689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.