Organization Active NPI

Share of Florida, LLC

  • Multi-Specialty Clinic/Center
  • Clearwater, FL
National Provider Identifier
1912668922
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Feb 6, 2022

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220221000861 FL Part B Supplier - Clinic/Group Practice 5890189682 Receives reassigned benefits from 1 practitioner
Practice locations: Clearwater, FL; Saint Petersburg, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.