| Clark Family Medicine | |
|
12815 Us Highway 98 W Ste 116 Miramar Beach FL 32550-3245 | |
| (850) 269-0111 | |
| (850) 269-0114 |
| Full Name | Clark Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12815 Us Highway 98 W Ste 116, Miramar Beach, Florida |
| Authorized Official Name and Position | Lisa Bardy Clark (OWNER) |
| Authorized Official Contact | 8502690111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark Family Medicine 12815 Us Highway 98 W Ste 116 Miramar Beach FL 32550-3245 Ph: (850) 269-0111 | Clark Family Medicine 12815 Us Highway 98 W Ste 116 Miramar Beach FL 32550-3245 Ph: (850) 269-0111 |
| NPI Number | 1194199919 |
|---|---|
| Provider Enumeration Date | 11/17/2015 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194199919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME0073997 (Florida) | Primary |
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