Organization Active NPI

Blue Ocean Clinical Research, LLC

  • Research Clinic/Center
  • Clearwater, FL
National Provider Identifier
1366108524
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
BLUE OCEAN CLINICAL RESEARCH, LLC
Practice address
3280 N McMullen Booth Rd Ste 120
Clearwater, FL 33761-2046
Phone
(727) 789-8770
Fax
(727) 789-8784
NPI assigned
Nov 11, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Jeff Walker
Title
President, Vip Florida
Phone
(727) 789-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

3280 N McMullen Booth Rd Ste 120
Clearwater, FL 33761-2046

Mailing address

3280 N McMullen Booth Rd Ste 120
Clearwater, FL 33761-2046
Phone (727) 789-8770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1366108524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 N MCMULLEN BOOTH RD STE 120",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612046",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N MCMULLEN BOOTH RD STE 120",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612046",
            "telephone_number": "727-789-8770",
            "fax_number": "727-789-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OCEAN CLINICAL RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT, VIP FLORIDA",
        "authorized_official_telephone_number": "727-789-8770"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.