| Clark Clinic Inc | |
|
110 Lodge Terrace Dr Altoona FL 32702-9668 | |
| (352) 786-1600 | |
| Not Available |
| Full Name | Clark Clinic Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 110 Lodge Terrace Dr, Altoona, Florida |
| Authorized Official Name and Position | Lowell F. Clark (OWNER) |
| Authorized Official Contact | 3527932441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Clinic Inc 212 S Florida St Bushnell FL 33513-6703 Ph: (352) 793-2441 | Clark Clinic Inc 110 Lodge Terrace Dr Altoona FL 32702-9668 Ph: (352) 786-1600 |
| NPI Number | 1992338156 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992338156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Lowell F. Clark Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Lodge Terrace Dr, Altoona, FL 32702 Phone: 352-787-1600 |