Organization Active NPI

Family Wellcare, P.a.

  • Family Medicine Physician
  • Clearwater, FL
National Provider Identifier
1811082407
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0006142 Issued in FL
Legal business name
FAMILY WELLCARE, P.A.
Practice address
1700 McMullen Booth Road
Suite C-3
Clearwater, FL 33759
Phone
(727) 723-3921
Fax
(727) 723-1562
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Alvarez, D.O.
Title
President
Phone
(727) 723-3921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS0006142 FL Primary

Addresses

Primary practice location

1700 McMullen Booth Road
Suite C-3
Clearwater, FL 33759

Mailing address

1700 McMullen Booth Road
Suite C-3
Clearwater, FL 33759
Phone (727) 723-3921

Other identifiers 1

IdentifierTypeStateIssuer
2217391OtherFLUHC

National Provider Directory

National Provider Directory

Locations

3935 Tampa Rd
Ste 6
Oldsmar, FL 34677
Phone (727) 723-3921

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811082407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MCMULLEN BOOTH ROAD",
            "address_2": "SUITE C-3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759",
            "telephone_number": "727-723-3921",
            "fax_number": "727-723-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MCMULLEN BOOTH ROAD",
            "address_2": "SUITE C-3",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33759",
            "telephone_number": "727-723-3921",
            "fax_number": "727-723-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLCARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-723-3921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2217391",
            "state": "FL"
        }
    ],
    "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 22, 2020; 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.