Healthcare Provider Details

I. General information

NPI: 1447928312
Provider Name (Legal Business Name): HARPERCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PINELLAS ST
CLEARWATER FL
33756
US

IV. Provider business mailing address

650 CLEVELAND ST UNIT 992
CLEARWATER FL
33757-8288
US

V. Phone/Fax

Practice location:
  • Phone: 727-324-3002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TIFFANY H GREEN
Title or Position: OWNER
Credential: MD
Phone: 727-324-3002