Clerjo Primary Care and Spa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CLERJO PRIMARY CARE AND SPA LLC

Practice address

5713 Clearview Dr
Orlando, FL 32819-7707

Phone

(407) 409-4607

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Anne Esther Joseph, NPNPI 1083188445

Title

Member

Phone

(407) 409-4607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• Anne Esther Joseph, APRN

  • Family Nurse Practitioner
  • Apopka, FL
  • NPI 1083188445
  Medicare reassignment Care Compare group NPD Authorized official
• Maria B Clerville, APRN

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1740937374
  Medicare reassignment Care Compare group NPD
• Joel Charles Pelissier, M.D.

  • Internal Medicine Physician
  • Naples, FL
  • NPI 1730454323
  Medicare reassignment NPD
• Elysee Edmond, PA-C

  • Physician Assistant
  • Ocala, FL
  • NPI 1417410226
  Medicare reassignment
• Marc Elie Eugene, MD

  • Family Medicine Physician
  • Fort Stewart, GA
  • NPI 1427039148
  NPD (past)

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1639854045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 CLEARVIEW DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197707",
            "telephone_number": "407-409-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 CLEARVIEW DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197707",
            "telephone_number": "407-409-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERJO PRIMARY CARE AND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "407-409-4607",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaneeka Denise Clemons
• Aaron Clendenin, MCAP
• Michel Rosadia Clendinen, LMT
• Charlene Clerge
• Kareen Clerge
• Christlove Clermont
• Kathleen Johane Clermont
• Theophane Clervil, RN
• Maria B Clerville, APRN
• Emmanuel Mercado Cleto Jr., M.D.

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.