Clavenna, Matthew
Clavenna, Matthew is an individual health care provider with primary practice located at 1330 S Fort Harrison Ave , Clearwater FL 33756-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Clavenna, Matthew can be contacted via phone (727) 216-0700.Contact Information
Primary practice address
1330 S Fort Harrison Ave
Clearwater FL 33756-3313
Phone: (727) 216-0700
Fax: (727) 216-0704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME128445 | Florida |
Profile Details
| NPI number | 1043453350 |
|---|---|
| LBN Legal business name | Clavenna, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Oct 5th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043453350 | NPPES |
| Florida | MEDICAID | 17487300 |
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