Provider Demographics
NPI:1376830984
Name:VERNA, CLAIRE MICHELE (MD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MICHELE
Last Name:VERNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:MICHELE
Other - Last Name:WILLIAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8773 PERIMETER PARK CT
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1165
Mailing Address - Country:US
Mailing Address - Phone:904-493-3390
Mailing Address - Fax:904-493-3395
Practice Address - Street 1:8773 PERIMETER PARK CT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1165
Practice Address - Country:US
Practice Address - Phone:904-493-3390
Practice Address - Fax:904-493-3395
Is Sole Proprietor?:No
Enumeration Date:2011-07-03
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME120594207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1025610OtherWELLCARE
FL2610299-00OtherFL MEDICAID - GROUP
FL7373650OtherCIGNA
FLPO1555677OtherRR MEDICARE
FL0160942-00Medicaid
FL45681OtherMEDICARE - GROUP
FL45681OtherFLORIDA BLUE - GROUP
FLCH6711OtherRR MCR - GROUP
FL375893OtherAVMED
FL2610299-00OtherFL MEDICAID - GROUP