CLEARWATER FAMILY MEDICINE AND ALLERGY, PA – NPI #1316255128
Allergy & Immunology

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

CLEARWATER FAMILY MEDICINE AND ALLERGY, PA is an allergy & immunologist located in CLEARWATER, FL. NPPES has assigned the NPI number 1316255128 to CLEARWATER FAMILY MEDICINE AND ALLERGY, PA on September 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207K00000X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology. Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Jul 15, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEARWATER FAMILY MEDICINE AND ALLERGY, PA below.

NPI Profile for
CLEARWATER FAMILY MEDICINE AND ALLERGY, PA

NPI Number
1316255128
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEARWATER FAMILY MEDICINE AND ALLERGY, PA
Primary location
708 DRUID RD E
CLEARWATER, FL 33756-3914
Phone: (727) 446-1097 Fax: (833) 941-2542
1 Other location(s):
2445 Tampa Rd Ste C
Palm Harbor, FL 34683-5849
Phone: (727) 787-2092
Fax: (833) 941-2542
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KERRY RELLER
OWNER
Phone: (727) 446-1097
Updated
Certification Date
Jul 15, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CLEARWATER FAMILY MEDICINE AND ALLERGY, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL009813800
medicaidFL122965700
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.