| Lowell F Clark Md Pa | |
|
910 W Myers Blvd Mascotte FL 34753-9748 | |
| (352) 557-8700 | |
| Not Available |
| Full Name | Lowell F Clark Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 910 W Myers Blvd, Mascotte, 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 |
|---|---|
| Lowell F Clark Md Pa 212 S Fla St Bushnell FL 33513-6703 Ph: (352) 793-2441 | Lowell F Clark Md Pa 910 W Myers Blvd Mascotte FL 34753-9748 Ph: (352) 557-8700 |
| NPI Number | 1871267195 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871267195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
South Lake Primary Care P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 W Myers Blvd, Suite C, Mascotte, FL 34753 Phone: 352-557-4840 Fax: 352-557-4839 | |
Clark Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 W Myers Blvd, Mascotte, FL 34753 Phone: 352-787-1600 Fax: 352-793-3282 |