Provider Demographics
NPI:1780307009
Name:CLEVER ENDO LLC
Entity type:Organization
Organization Name:CLEVER ENDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:HARLEY
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:305-304-4209
Mailing Address - Street 1:1380 NE MIAMI GARDENS DR STE 155
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4747
Mailing Address - Country:US
Mailing Address - Phone:305-902-1663
Mailing Address - Fax:
Practice Address - Street 1:1380 NE MIAMI GARDENS DR STE 155
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-4747
Practice Address - Country:US
Practice Address - Phone:305-902-1663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty