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NPI Code Detail

MEDICARE: CLI INTEGRATIVE MEDICINE, LLC

MEDICARE: CLI INTEGRATIVE MEDICINE, LLC
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
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326518671
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLI INTEGRATIVE MEDICINE, LLC
Provider Business Mailing Address
First Line : 35190 US HIGHWAY 19 N
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-1929
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35190 US HIGHWAY 19 N
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-1929
Country : US
Telephone Number : 727-748-9900
Fax Number :
Authorized Official
Title or Position : LEGAL COUNSEL
Name : JARED JAMES MCCABE
Credential : J.D., ESQUIRE
Telephone Number : 813-489-9211
Provider Enumeration Date : 11/29/2018
Last Update Date : 11/29/2018

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Directions to “CLI INTEGRATIVE MEDICINE, LLC ” Practice Location

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