Clearmedica Medical Centers, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLEARMEDICA MEDICAL CENTERS, LLC

Practice address

675 S Kings Ave
Brandon, FL 33511-6048

Phone

(813) 588-5123

Fax

(866) 611-7057

NPI assigned

Mar 8, 2023

Organization subpart

No

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

Authorized official

Name

Glorimar Gonzalez Samot, MDNPI 1700111614

Title

Owner

Phone

(813) 588-5123

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clearmedica Medical Centers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clearmedica Medical Centers LLC

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1578350062
  NPD tax ID
• Clearmedica Medical Centers, LLC

  • Primary Care Clinic/Center
  • Winter Haven, FL
  • NPI 1851100382
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Clearmedica Medical Centers LLC

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1578350062
  NPPES parent name
• Clearmedica Medical Centers, LLC

  • Primary Care Clinic/Center
  • Winter Haven, FL
  • NPI 1851100382
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glorimar Gonzalez Samot, M.D.

  • General Practice Physician
  • Brandon, FL
  • NPI 1700111614
  Medicare reassignment Care Compare group NPD Authorized official
• Carlos M Romero, M.D.

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1356322234
  Medicare reassignment Care Compare group NPD
• Maykel Moreno Abreu, NP

  • Family Nurse Practitioner
  • Plant City, FL
  • NPI 1639922099
  Medicare reassignment NPD

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1386344273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5618",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338075618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S KINGS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116048",
            "telephone_number": "813-588-5123",
            "fax_number": "866-611-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARMEDICA MEDICAL CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SAMOT",
        "authorized_official_first_name": "GLORIMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-588-5123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly A Clark
• Clarke Counseling and Psychological Services
• Claire Clausen, OTR/L
• Jenniffer Carola Clayton, PSW
• Samantha Clayton
• Aaron Clemons
• Brandon Jesse Clendenin, DO
• Kanilina Clerge
• Donald A Cleveland, BA
• Hannah Clifford, RBT

• Primary Care Clinic/Center in Brandon, FL
• Providers in Brandon, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.