Provider Demographics
NPI:1003496019
Name:CLAREA, INC.
Entity Type:Organization
Organization Name:CLAREA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:AFFRUNTI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:941-248-6987
Mailing Address - Street 1:1767 LAKEWOOD RANCH BLVD # 248
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-4906
Mailing Address - Country:US
Mailing Address - Phone:941-248-6987
Mailing Address - Fax:
Practice Address - Street 1:13062 BLISS LOOP
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34211-4069
Practice Address - Country:US
Practice Address - Phone:941-248-6987
Practice Address - Fax:217-787-3232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)