Provider Demographics
NPI:1457305054
Name:CLEARVIEW MEDICAL SERVICES CORP
Entity Type:Organization
Organization Name:CLEARVIEW MEDICAL SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUSTAVO
Authorized Official - Middle Name:
Authorized Official - Last Name:PILOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-651-0666
Mailing Address - Street 1:644 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4470
Mailing Address - Country:US
Mailing Address - Phone:305-651-0666
Mailing Address - Fax:305-651-0350
Practice Address - Street 1:644 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4470
Practice Address - Country:US
Practice Address - Phone:305-651-0666
Practice Address - Fax:305-651-0350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6867261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center