Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME82208 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME82208 | FL |
NPI | 1376548065 |
---|---|
Provider Name | Michael P Clare |
First Address | Sarasota, FL 34239-2640 |
Second Address | Sarasota, FL 34239-2640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 10/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01562 | BCBSFL (01) | FL |
1674442 | CIGNA (01) | FL |
200041781 | RAILROAD MEDICARE (01) | FL |
271867700 | (05) | FL |
278501 | AVMED (01) | FL |
7452373 | AETNA (01) | FL |
H44443 | (02) | FL |