Provider Demographics
NPI:1003928615
Name:STARRETT, CLARE H (DPM)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:H
Last Name:STARRETT
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2722 MANATEE AVE W
Mailing Address - Street 2:STE 4
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205
Mailing Address - Country:US
Mailing Address - Phone:941-779-1100
Mailing Address - Fax:941-778-3913
Practice Address - Street 1:2722 MANATEE AVE W
Practice Address - Street 2:STE 4
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-4945
Practice Address - Country:US
Practice Address - Phone:941-779-1100
Practice Address - Fax:941-778-3913
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPO 1475213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL33875OtherHARVARD PILGRIM HPHC
FL00021053101OtherUNIVERA
FL6200972OtherGHI
FL65322OtherBCBS
FLV78546OtherAMERIHEALTH
FL116418OtherHEALTHPARTNERS
FL480018087OtherRAIL ROAD MEDICARE
FLN408633OtherSTAYWELL HEALTHEASE WELLC
FL65322Medicare PIN
FLV78546OtherAMERIHEALTH
FL116418OtherHEALTHPARTNERS