Clark Clinic Inc | |
31450 Church St Sorrento FL 32776-9594 | |
(352) 735-4044 | |
Not Available |
Full Name | Clark Clinic Inc |
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Speciality | Clinic/center |
Location | 31450 Church St, Sorrento, 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 |
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Clark Clinic Inc 212 S Florida St Bushnell FL 33513-6703 Ph: (352) 793-2441 | Clark Clinic Inc 31450 Church St Sorrento FL 32776-9594 Ph: (352) 735-4044 |
NPI Number | 1225661481 |
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Provider Enumeration Date | 02/17/2020 |
Last Update Date | 02/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225661481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Sorento Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31450 Church Street, Sorrento, FL 32776 Phone: 352-735-4044 Fax: 352-735-2536 | |
Lowell F. Clark Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31450 Church St, Sorrento, FL 32776 Phone: 352-735-4044 | |
George R Ikeler, M.d P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31450 Church St, Sorrento, FL 32776 Phone: 352-735-4044 Fax: 352-735-2536 | |
Plymouth-sorrento Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30844 Westridge Ter, Sorrento, FL 32776 Phone: 352-406-8583 |