Organization · Type 2 NPI

Divine Care Management LLC

Nurse Practitioner · Clearwater, FL

NPI number 1427601491 Active

Practice location

1012 Druid Rd E Ste B
Clearwater, FL 33756-5606

Call (813) 434-7651 Map

Fax (813) 200-8449

Mailing address

6414 Nikki Ln
Tampa, FL 33625-1645

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1427601491

Divine Care Management LLC's National Provider Identifier is 1427601491, issued on Jul 18, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clearwater, FL. The record was last updated on Sep 24, 2025.