WILLA CARSON HEALTH AND WELLNESS CENTER
NPI 1902180789
General Practice in Clearwater, FL

Active since September 28, 2011
1108 N MARTIN LUTHER KING JR AVE, CLEARWATER, FL 33755(727) 467-9411(727) 467-2771 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willa Carson Health And Wellness Center NPPES

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

WILLA CARSON HEALTH AND WELLNESS CENTER (NPI 1902180789) is a healthcare organization registered as a general practice in Clearwater, Florida and active in the NPI registry since September 2011. The organization lists Annie Tyrell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902180789
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWILLA CARSON HEALTH AND WELLNESS CENTER
Location Address1108 N MARTIN LUTHER KING JR AVEClearwater, FL 33755-3222
Mailing Address1108 N Martin Luther King Jr AveClearwater, FL 33755-3222 · (727) 467-9411 · Fax (727) 467-2771
Fax(727) 467-2771
Organization SubpartNo
Authorized OfficialAnnie TyrellExecutive Director · (727) 467-9411
Enumeration DateSeptember 28, 2011
NPI 1902180789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1108 N MARTIN LUTHER KING JR AVE, Clearwater, FL 33755

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center
1108 N MARTIN LUTHER KING JR AVE
CLEARWATER, FL 33755

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 Willa Carson Health And Wellness Center's NPI number?

The NPI number for Willa Carson Health And Wellness Center is 1902180789. It was assigned to this organization in the NPPES registry on September 28, 2011.

Where is Willa Carson Health And Wellness Center located?

Willa Carson Health And Wellness Center is located at 1108 N Martin Luther King Jr Ave, Clearwater, FL 33755. The listed phone number is (727) 467-9411.

What is Willa Carson Health And Wellness Center's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Willa Carson Health And Wellness Center was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.