Provider Demographics
NPI:1598768236
Name:HOPKINS, CLAYTON WOODS (DC)
Entity Type:Individual
Prefix:
First Name:CLAYTON
Middle Name:WOODS
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOPKINS CLINIC FOR PHYSICAL MEDICINE
Mailing Address - Street 2:6231 66TH STREET NORTH
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781
Mailing Address - Country:US
Mailing Address - Phone:727-544-3330
Mailing Address - Fax:727-544-3221
Practice Address - Street 1:HOPKINS CLINIC FOR PHYSICAL MEDICINE
Practice Address - Street 2:6231 66TH STREET NORTH
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781
Practice Address - Country:US
Practice Address - Phone:727-544-3330
Practice Address - Fax:727-544-3221
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH4456111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70318ZMedicare ID - Type Unspecified
FLT54961Medicare UPIN