National Provider Identifier Database

CLEARWATER FAMILY MEDICINE AND ALLERGY PA
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


Contact Information

CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
708 DRUID RD E
CLEARWATER, FL33756-3914
Phone: 727-446-1097
Fax: 833-941-2542
Website:
Specialty Taxonomy Code
* Allergy & Immunology 207K00000X
Allergy 207KA0200X
Bariatric Medicine 207QB0002X
Family 363LF0000X
Family Medicine 207Q00000X
Nurse Practitioner 363L00000X
Obesity Medicine 2083B0002X
Primary Care 363LP2300X

* Indicates primary specialty

NPI Profile & details for CLEARWATER FAMILY MEDICINE AND ALLERGY, PA

NPI Number 1316255128
Legal business name
LBN
CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
Authorized official KERRY RELLER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/15/2010
Last updated 07/15/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 009813800
  • FL Medicaid: 122965700

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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