Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO 1475 | FL |
Y | 222Z00000X | Podiatrist | PO 1475 | FL |
NPI | 1003928615 |
---|---|
Provider Name | Clare H Starrett |
First Address | Bradenton, FL 34205 |
Second Address | Bradenton, FL 34205-4945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 15/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00021053101 | UNIVERA (01) | FL |
116418 | HEALTHPARTNERS (01) | FL |
33875 | HARVARD PILGRIM HPHC (01) | FL |
480018087 | RAIL ROAD MEDICARE (01) | FL |
6200972 | GHI (01) | FL |
65322 | BCBS (01) | FL |
N408633 | STAYWELL HEALTHEASE WELLC (01) | FL |
U13672 | (02) | FL |
V78546 | AMERIHEALTH (01) | FL |