Provider Demographics
NPI:1164951000
Name:DNA CRITICAL CONSULTING LLC
Entity Type:Organization
Organization Name:DNA CRITICAL CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEVENDRA
Authorized Official - Middle Name:N
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-771-1300
Mailing Address - Street 1:2305 KENT PL
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-7526
Mailing Address - Country:US
Mailing Address - Phone:727-771-1300
Mailing Address - Fax:727-781-3312
Practice Address - Street 1:2410 NORTHSIDE DR
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2236
Practice Address - Country:US
Practice Address - Phone:727-771-1300
Practice Address - Fax:727-781-3312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty