Clinton Saunders
Community Health Worker in Lakeland, FL. Individual provider (NPI-1).
NPI number1124519962
StatusActive
Last updated in NPPESMay 29, 2018
Details
- NPI
- 1124519962
- Entity type
- Individual (NPI-1)
- Name
- Clinton Saunders
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 29, 2018
- Last updated
- May 29, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
715 N Lake AveLakeland, FL 33801-1908
Phone 863-519-0575
Mailing address
Po Box 1559Bartow, FL 33831-1559
Phone 863-519-0575
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 72 Community Health Worker providers in Lakeland · All 6,813 providers in Lakeland
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