Active NPI
Share of Florida, LLC
- Multi-Specialty Clinic/Center
- Clearwater, FL
National Provider Identifier
1912668922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- SHARE OF FLORIDA, LLC
- Practice address
- 3118 Gulf to Bay Blvd Ste 226a
Clearwater, FL 33759-4553 - Phone
- (727) 755-3018
- NPI assigned
- Jan 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Spadafora, COO
- Title
- Coo
- Phone
- (727) 755-3018
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
3118 Gulf to Bay Blvd Ste 226a
Clearwater, FL 33759-4553
Mailing address
140 Meadowlark Dr
Safety Harbor, FL 34695-2020
Phone (727) 755-3018
Other practice location 1
475 Central Ave
Saint Petersburg, FL 33701-3859
Phone (727) 755-3018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
475 Central Ave
Saint Petersburg, FL 33701
Phone (727) 755-3018
475 Central Ave
Ste 300B
St Petersburg, FL 33701
Phone (727) 371-4357
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
- NPI 1477855872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644105600000",
"number": "1912668922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 MEADOWLARK DR",
"city": "SAFETY HARBOR",
"state": "FL",
"postal_code": "346952020",
"telephone_number": "727-755-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 GULF TO BAY BLVD STE 226A",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337594553",
"telephone_number": "727-755-3018"
}
],
"practiceLocations": [
{
"address_1": "475 Central Ave",
"address_purpose": "LOCATION",
"city": "Saint Petersburg",
"state": "FL",
"postal_code": "337013859",
"country_code": "US",
"telephone_number": "727-755-3018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHARE OF FLORIDA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-03",
"last_updated": "2022-02-06",
"certification_date": "2022-02-06",
"status": "A",
"authorized_official_last_name": "SPADAFORA",
"authorized_official_first_name": "AMANDA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "727-755-3018",
"authorized_official_credential": "COO"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.