| Clark Ltc Pa | |
|
212 S Florida St Bushnell FL 33513-6703 | |
| (352) 793-2441 | |
| Not Available |
| Full Name | Clark Ltc Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 212 S Florida St, Bushnell, 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 Ltc Pa 212 S Florida St Bushnell FL 33513-6703 Ph: (352) 793-2441 | Clark Ltc Pa 212 S Florida St Bushnell FL 33513-6703 Ph: (352) 793-2441 |
| NPI Number | 1104507235 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104507235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Premier Healthcare Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W County Road 48, Bushnell, FL 33513 Phone: 352-516-3972 | |
Bushnell Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Belt Ave, Suite A, Bushnell, FL 33513 Phone: 352-568-1988 Fax: 352-568-2427 | |
Clark Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 S Florida St, Bushnell, FL 33513 Phone: 352-793-2441 Fax: 352-793-2649 | |
Lowell F. Clark Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 212 S Florida St, Bushnell, FL 33513 Phone: 352-787-1600 Fax: 352-793-3282 |