Healthcare Provider Details

I. General information

NPI: 1174250336
Provider Name (Legal Business Name): NP CARE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2022
Last Update Date: 06/07/2025
Certification Date: 06/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2519 N MCMULLEN BOOTH RD # 510-111
CLEARWATER FL
33761-4173
US

IV. Provider business mailing address

2519 N MCMULLEN BOOTH RD # 510-111
CLEARWATER FL
33761-4173
US

V. Phone/Fax

Practice location:
  • Phone: 863-333-8376
  • Fax: 863-617-9876
Mailing address:
  • Phone: 863-333-8376
  • Fax: 863-617-9876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY BOCKELKAMP
Title or Position: APRN-C
Credential: DNP
Phone: 863-333-8376