Robert Clark, LPN is a
Licensed Practical Nurse based in Brooksville, Florida. Robert Clark is licensed to practice in Florida (license number PN1295281) and his current practice location is
26347 Lake Lindsey Rd, Brooksville, Florida. He can be reached at his office (for appointments etc.) via phone at
(352) 650-3825.
NPI number for Robert Clark is 1396963666 and his current mailing address is Po Box 171, Istachatta, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396963666.
Provider's Profile
| Full Name | Robert Clark |
|---|
| Gender | Male |
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| Speciality | Licensed Practical Nurse |
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| Location | 26347 Lake Lindsey Rd, Brooksville, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396963666
- Provider Enumeration Date: 04/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Robert Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396963666 | NPI | - | NPPES |
| PN1295281 | Other | FL | LPN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | PN1295281 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Clark, LPN
Po Box 171,
Istachatta, FL 34636-0171
Ph: (352) 650-3825 | Robert Clark, LPN
26347 Lake Lindsey Rd,
Brooksville, FL 34601-4304
Ph: (352) 650-3825 |
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