Organization Active NPI

Cli Integrative Medicine, LLC

  • Clinic/Center
  • Palm Harbor, FL
National Provider Identifier
1326518671
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLI INTEGRATIVE MEDICINE, LLC
Practice address
35190 US Highway 19 N
Palm Harbor, FL 34684-1929
Phone
(727) 748-9900
NPI assigned
Nov 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Jared James McCabe, J.D., ESQUIRE
Title
Legal Counsel
Phone
(813) 489-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

35190 US Highway 19 N
Palm Harbor, FL 34684-1929

Mailing address

35190 US Highway 19 N
Palm Harbor, FL 34684-1929

Other identifiers 1

IdentifierTypeStateIssuer
1730325317MedicaidIL

National Provider Directory

National Provider Directory

Locations

35190 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 748-9900

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1326518671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35190 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35190 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841929",
            "telephone_number": "727-748-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLI INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "LEGAL COUNSEL",
        "authorized_official_telephone_number": "813-489-9211",
        "authorized_official_credential": "J.D., ESQUIRE"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730325317",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.