Clar and Grace Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLAR AND GRACE MEDICAL CLINIC

Practice address

38439 5TH Ave
Zephyrhills, FL 33542-3540

Phone

(813) 546-2713

NPI assigned

Apr 10, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Broome, ARNPNPI 1942551122

Title

Ceo

Phone

(813) 546-2713

Specialties & licenses 1

Addresses

Practitioners 1

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

• Beverly Broome, ARNP

  • Family Nurse Practitioner
  • The Villages, FL
  • NPI 1942551122
  NPD Authorized official

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1477133866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38439 5TH AVE # 174",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335424328",
            "telephone_number": "813-546-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38439 5TH AVE",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335423540",
            "telephone_number": "813-546-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAR AND GRACE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-05-07",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BROOME",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-546-2713",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Lowery Chauncey
• Laura Chauncey, RRT
• Pavitar Singh Cheema, MD
• Nata Cisse
• Paul Citrin, M.D.
• Clar and Grace Medical Clinic
• Mara Michelle Shelley Clarke, BCBA
• Abigail Clayborne
• Gail Clemson, ARNP
• Clinical Pet of Zephyrhills LLC

• Primary Care Clinic/Center in Zephyrhills, FL
• Providers in Zephyrhills, 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 May 7, 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.