MEDICARE: CLARE H STARRETT DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO 1475	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	480018087	OTHER	FL	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33875	OTHER	FL	HARVARD PILGRIM HPHC
2	00021053101	OTHER	FL	UNIVERA
3	6200972	OTHER	FL	GHI
4	65322	OTHER	FL	BCBS
5	V78546	OTHER	FL	AMERIHEALTH
6	116418	OTHER	FL	HEALTHPARTNERS
8	N408633	OTHER	FL	STAYWELL HEALTHEASE WELLC

General Provider Information

NPI Number	:	1003928615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARE H STARRETT DPM

Provider Business Mailing Address
First Line	:	2722 MANATEE AVE W
Second Line	:	STE 4
City	:	BRADENTON
State	:	FL
Zip	:	34205
Country	:	US
Telephone Number	:	941-779-1100
Fax Number	:	941-778-3913

Provider Business Practice Location Address
First Line	:	2722 MANATEE AVE W
Second Line	:	STE 4
City	:	BRADENTON
State	:	FL
Zip	:	34205-4945
Country	:	US
Telephone Number	:	941-779-1100
Fax Number	:	941-778-3913

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/15/2012

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Directions to “ CLARE H STARRETT DPM” Practice Location

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