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P3 HEALTH PARTNERS-FLORIDA LLC
NPI 1205549029
Clinic/Center in Clearwater, FL

Active since December 27, 2022CLIA 10D2063179 · Waiver
13501 ICOT BLVD STE 114, CLEARWATER, FL 33760(727) 754-7880(727) 754-7885 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About P3 Health Partners-florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

P3 HEALTH PARTNERS-FLORIDA LLC (NPI 1205549029) is a healthcare organization registered as a clinic/center in Clearwater, Florida and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Beverly Dendary, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1205549029
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameP3 HEALTH PARTNERS-FLORIDA LLC
Location Address13501 ICOT BLVD STE 114Clearwater, FL 33760-3729
Mailing Address2370 Corporate Cir Ste 300Henderson, NV 89074-7760 · (702) 910-3950 · Fax (702) 786-6650
Phone(727) 754-7880
Fax(727) 754-7885
Organization SubpartNo
Authorized OfficialBeverly DendaryCredentialing Supervisor · (702) 910-3950
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
✔ NPI 1205549029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13501 ICOT BLVD STE 114, Clearwater, FL 33760
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Other Identifiers 1

Medicaid108887000FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2063179

P3 Health Partners-Florida · Clearwater, FL
Active · expires Jul 28, 2027
CLIA Number10D2063179
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorDr. Neisa I. Diaz
Laboratory Phone(727) 754-7880
Laboratory LocationP3 Health Partners-Florida13501 Icot Blvd Ste 114, Clearwater, FL 33760
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEISA I DIAZ MD
Internal Medicine
13501 ICOT BLVD STE 114
CLEARWATER, FL 33760
Pinellas County (727) 754-7880
GLYNNIS J LYONS DO
Family Medicine
13501 ICOT BLVD STE 114
CLEARWATER, FL 33760
Pinellas County (727) 754-7880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is P3 Health Partners-Florida LLC's NPI number?

The NPI number for P3 Health Partners-Florida LLC is 1205549029. It was assigned to this organization in the NPPES registry on December 27, 2022.

Where is P3 Health Partners-Florida LLC located?

P3 Health Partners-Florida LLC is located at 13501 Icot Blvd Ste 114, Clearwater, FL 33760. The listed phone number is (727) 754-7880.

What is P3 Health Partners-Florida LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does P3 Health Partners-Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2063179) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for P3 Health Partners-Florida LLC was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.