MEDICARE: CLARAS PLACE INC

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	261QD1600X	Developmental Disabilities Clinic/Center

General Provider Information

NPI Number	:	1356836464
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLARAS PLACE INC

Provider Business Mailing Address
First Line	:	4590 39TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-6385
Country	:	US
Telephone Number	:	772-532-4484
Fax Number	:

Provider Business Practice Location Address
First Line	:	4590 39TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32967-6385
Country	:	US
Telephone Number	:	772-532-4484
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BRYANT CLARA
Credential	:
Telephone Number	:	772-532-4484

Provider Enumeration Date	:	06/30/2018
Last Update Date	:	06/30/2018

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Directions to “CLARAS PLACE INC ” Practice Location

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