MEDICARE: DR. CLAFFIE AND ASSOCATES, O.D., P.A.

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
1	152W00000X	Optometrist	2876	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1891109229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. CLAFFIE AND ASSOCATES, O.D., P.A.

Provider Business Mailing Address
First Line	:	2223 N WEST SHORE BLVD STE 293
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-7229
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 N WEST SHORE BLVD STE 293
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-7229
Country	:	US
Telephone Number	:	813-350-0870
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KATE CLAFFIE
Credential	:
Telephone Number	:	813-350-0870

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	06/13/2014

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