Provider Demographics
NPI:1285172726
Name:CLEAR MEDICINE, INC
Entity type:Organization
Organization Name:CLEAR MEDICINE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPIDOT
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:305-491-9752
Mailing Address - Street 1:15689 SOUTHERN BLVD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE GROVES
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9229
Mailing Address - Country:US
Mailing Address - Phone:561-614-1116
Mailing Address - Fax:561-408-5256
Practice Address - Street 1:15689 SOUTHERN BLVD UNIT 101
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE GROVES
Practice Address - State:FL
Practice Address - Zip Code:33470-9229
Practice Address - Country:US
Practice Address - Phone:561-614-1116
Practice Address - Fax:561-408-5256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care