Clearwater Headache Center, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLEARWATER HEADACHE CENTER, LLC

Practice address

1289 Court St
Clearwater, FL 33756-5807

Phone

(727) 441-2149

Fax

(727) 442-2532

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Charles Harris

Title

President

Phone

(727) 441-2149

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1831579564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565807",
            "telephone_number": "727-441-2149",
            "fax_number": "727-442-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 COURT ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565807",
            "telephone_number": "727-441-2149",
            "fax_number": "727-442-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER HEADACHE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-441-2149",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.