Healthcare Provider Details

I. General information

NPI: 1831165414
Provider Name (Legal Business Name): INTERNATIONAL HEALTH CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13501 ICOT BLVD SUITE 110
CLEARWATER FL
33760-3729
US

IV. Provider business mailing address

13501 ICOT BLVD SUITE 110
CLEARWATER FL
33760-3729
US

V. Phone/Fax

Practice location:
  • Phone: 727-507-8555
  • Fax: 727-532-0091
Mailing address:
  • Phone: 727-507-8555
  • Fax: 727-532-0091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP363
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT15201
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberME68820
License Number StateFL

VIII. Authorized Official

Name: HUA SHIU
Title or Position: OWNER
Credential: AP
Phone: 727-507-8555