| Gary L Clark, PA C | |
|
605 Lamar Ave, Brooksville, FL 34601-3211 | |
| (352) 799-5411 | |
| (352) 544-2713 |
| Full Name | Gary L Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 605 Lamar Ave, Brooksville, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114911328 | NPI | - | NPPES |
| 900013195 | Other | FL | RAILROAD MEDICARE |
| 970029323 | Other | FL | RAILROAD MEDICARE |
| Y00ZL | Other | FL | BC/BS FL |
| 290338500 | Medicaid | FL | |
| 970028329 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA2265 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Clark, PA C 605 Lamar Ave, Brooksville, FL 34601-3211 Ph: (352) 799-5411 | Gary L Clark, PA C 605 Lamar Ave, Brooksville, FL 34601-3211 Ph: (352) 799-5411 |
Mrs. Ashley Kay Johnston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17240 Cortez Blvd, Brooksville, FL 34601 Phone: 352-796-5111 Fax: 352-544-5711 | |
Brandi L. Broughton, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12900 Cortez Blvd Ste 205, Brooksville, FL 34613 Phone: 813-321-1786 Fax: 813-321-1787 | |
Ms. Amanda Renea Porter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14555 Cortez Blvd, Brooksville, FL 34613 Phone: 352-556-4823 Fax: 352-556-4824 | |
Mr. Bryan T Moynihan, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14555 Cortez Blvd, Brooksville, FL 34613 Phone: 352-556-4823 Fax: 352-556-4824 | |
Brent Rentfro, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44 Veterans Ave, Brooksville, FL 34601 Phone: 352-797-3500 Fax: 352-797-3526 | |
Monte Edwards, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 605 Lamar Ave, Brooksville, FL 34601 Phone: 352-799-5411 Fax: 352-544-2713 |