Clearwater Cardiovascular and Interventional Consultants MD PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA

Practice address

8839 Bryan Dairy Rd Ste 300
Largo, FL 33777-1207

Phone

(727) 394-1911

Fax

(727) 394-1986

NPI assigned

Aug 23, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Kevin B Mair

Title

Ceo

Phone

(727) 445-1992

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clearwater Cardiovascular Consultants Doing business as

Tax ID family

Clearwater Cardio Int2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Clearwater Cardiovascular and Interventional Consultants

  • Non-Pharmacy Dispensing Site
  • Safety Harbor, FL
  • NPI 1467778381
  NPD tax ID

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1447926027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PINELLAS ST STE 400",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563356",
            "telephone_number": "727-445-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8839 BRYAN DAIRY RD STE 300",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771207",
            "telephone_number": "727-394-1911",
            "fax_number": "727-394-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER CARDIOVASCULAR AND INTERVENTIONAL CONSULTANTS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-23",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "MAIR",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-445-1992",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119872600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearwater Cardiovascular Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clearwater Cardiovascular Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Burns Clark, MD
• Dominique J Clark
• Claudette M Parham
• Jillian Clavenna, PA
• Clean Life Detox
• Clearwater Surgical Associates, PLLC
• Jennifer Ann Clemans
• Martin Clemmons, D.O.
• Jasmin Click
• Andrew Scott Clifford

• Non-Pharmacy Dispensing Site in Largo, FL
• Providers in Largo, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.