Provider Demographics
NPI:1841451960
Name:CHOICE HOSPITAL CONSULTANTS, PA
Entity type:Organization
Organization Name:CHOICE HOSPITAL CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:CLEMENTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-209-1419
Mailing Address - Street 1:PO BOX 647
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33731-0647
Mailing Address - Country:US
Mailing Address - Phone:727-209-1419
Mailing Address - Fax:727-209-1659
Practice Address - Street 1:2191 9TH AVE N
Practice Address - Street 2:STE 105
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-7146
Practice Address - Country:US
Practice Address - Phone:727-209-1419
Practice Address - Fax:727-209-1659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 87368207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270880900Medicaid
FLK6564Medicare PIN
FLH95037Medicare UPIN