Provider Demographics
NPI:1568855849
Name:BETTER HEALTH MEDICAL CENTER
Entity Type:Organization
Organization Name:BETTER HEALTH MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANUTA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:JACKSON-CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-771-8282
Mailing Address - Street 1:28960 US HIGHWAY 19 N STE 115
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2403
Mailing Address - Country:US
Mailing Address - Phone:727-771-8282
Mailing Address - Fax:727-771-8788
Practice Address - Street 1:28960 US HIGHWAY 19 N STE 115
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2403
Practice Address - Country:US
Practice Address - Phone:727-771-8282
Practice Address - Fax:727-771-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2015-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61310261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL419993OtherFLORIDA BLUE
FLME61310Medicaid