Dr Omar-shay Clark, DC | |
2378 Surfside Blvd, Suite A133, Cape Coral, FL 33991-3181 | |
(239) 205-3700 | |
Not Available |
Full Name | Dr Omar-shay Clark |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 8 Years |
Location | 2378 Surfside Blvd, Cape Coral, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457895351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH11971 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Experience Family Chiropractic | 1153603444 | 2 |
Provider Name | Experience Family Chiropractic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447794342 PECOS PAC ID: 1153603444 Enrollment ID: O20170121000022 |
Mailing Address | Practice Location Address |
---|---|
Dr Omar-shay Clark, DC 2378 Surfside Blvd, Suite A133, Cape Coral, FL 33991-3181 Ph: (239) 205-3700 | Dr Omar-shay Clark, DC 2378 Surfside Blvd, Suite A133, Cape Coral, FL 33991-3181 Ph: (239) 205-3700 |
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