Clearmedica Medical Centers, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CLEARMEDICA MEDICAL CENTERS, LLC

Practice address

111 Avenue a SE
Winter Haven, FL 33880-6302

Phone

(863) 812-4300

Fax

(866) 611-7057

NPI assigned

Dec 30, 2024

Organization subpart

Yes

Parent organization

CLEARMEDICA MEDICAL CENTERS, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Glorimar Gonzalez Samot

Title

Owner

Phone

(813) 588-5001

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clearmedica Medical Centers3 organizations share this tax ID, including this one

Part of

Clearmedica Medical Centers

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clearmedica Medical Centers LLC

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1578350062
  NPD tax ID
• Clearmedica Medical Centers, LLC

  • Primary Care Clinic/Center
  • Brandon, FL
  • NPI 1386344273
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Clearmedica Medical Centers, LLC

  • Primary Care Clinic/Center
  • Brandon, FL
  • NPI 1386344273
  NPPES parent name

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1851100382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5618",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338075618",
            "telephone_number": "813-588-5001",
            "fax_number": "866-611-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 AVENUE A SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806302",
            "telephone_number": "863-812-4300",
            "fax_number": "866-611-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARMEDICA MEDICAL CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLEARMEDICA MEDICAL CENTERS, LLC",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ SAMOT",
        "authorized_official_first_name": "GLORIMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-588-5001",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Clark
• Krysta Ann Clark, NP
• Wendy Marie Clark, APRN
• William D Clark, LMT
• Mary Beth Claypool
• George Bruce Clement, MD.
• Safaa Clermont
• Virginia Clifford, ARNP
• Cloud Chiropractic of Winter Haven
• Karen Cobb

• Primary Care Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.