Clean Medics, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CLEAN MEDICS, LLC

Practice address

1620 Tamiami TRL Ste 214
Port Charlotte, FL 33948-4017

Phone

(941) 909-6020

NPI assigned

Feb 24, 2021

Organization subpart

No

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

Authorized official

Name

Estefania PerezNPI 1649741612

Title

Director

Phone

(323) 684-7024

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Estefania Perez, NP

  • Family Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1649741612
  NPD (past) Authorized official

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1649864208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 TAMIAMI TRL STE 214",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TAMIAMI TRL STE 214",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484017",
            "telephone_number": "941-909-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN MEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ESTEFANIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-684-7024"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cleanmedics.com",
            "affiliation": "N",
            "address_1": "1620 Tamiami Trl Ste 214",
            "city": "Port Charlotte",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339484017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmella Rose Cicero, CRNA
• Randy M Cisne, LMHC
• Thomas R Civitella, M.D.
• James Duncan Clark III, MD
• Anne Yvonne Clarke
• Glinese Clerjuste, NP
• CLR Behavior LLC
• Coast Harbour Dental and Health Associates
• Coastal Cardiololgy & Vascular Center
• Coastal Gastroenterology and General Surgery LLC

• Durable Medical Equipment & Medical Supplies in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.