Provider Demographics
NPI:1811666753
Name:CLEAR FUTURES LLC
Entity type:Organization
Organization Name:CLEAR FUTURES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-648-6100
Mailing Address - Street 1:2501 HOWELL BRANCH RD STE 1001
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-6575
Mailing Address - Country:US
Mailing Address - Phone:407-636-3030
Mailing Address - Fax:407-960-2194
Practice Address - Street 1:2501 HOWELL BRANCH RD STE 1001
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-6575
Practice Address - Country:US
Practice Address - Phone:407-636-3030
Practice Address - Fax:407-960-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty