Organization Active NPI

Safe Harbor Insurance Services, LLC

  • Contractor
  • Clearwater, FL
National Provider Identifier
1750639902
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
SAFE HARBOR INSURANCE SERVICES, LLC
Practice address
3000 Gulf to Bay Blvd
Suite 202
Clearwater, FL 33759-4321
Phone
(727) 394-4060
NPI assigned
Aug 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Walter Matthew Groteke
Title
President
Phone
(727) 488-5040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

3000 Gulf to Bay Blvd
Suite 202
Clearwater, FL 33759-4321

Mailing address

3000 Gulf to Bay Blvd
Suite 202
Clearwater, FL 33759-4321

National Provider Directory

National Provider Directory

Locations

3000 Gulf To Bay Blvd
Ste 202
Clearwater, FL 33759
Phone (727) 394-4060

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1750639902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GULF TO BAY BLVD",
            "address_2": "SUITE 202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GULF TO BAY BLVD",
            "address_2": "SUITE 202",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594321",
            "telephone_number": "727-394-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR INSURANCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "GROTEKE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-488-5040"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.