Healthcare Provider Details

I. General information

NPI: 1871482836
Provider Name (Legal Business Name): FLORIDA OCULOPLASTICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E BAY DR STE 2
LARGO FL
33771-5616
US

IV. Provider business mailing address

1601 E BAY DR STE 2
LARGO FL
33771-5616
US

V. Phone/Fax

Practice location:
  • Phone: 727-356-5437
  • Fax: 727-221-5222
Mailing address:
  • Phone: 727-356-5437
  • Fax: 727-221-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON CLAIR
Title or Position: OWNER
Credential: MD
Phone: 484-467-2891