Clark, Aaron
Clark, Aaron is an individual health care provider with primary practice located at 3030 W Dr Martin Luther King Jr Blvd , Tampa FL 33607-6308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is his primary health care specialty. Clark, Aaron can be contacted via phone (813) 870-4000.Contact Information
Primary practice address
3030 W Dr Martin Luther King Jr Blvd
Tampa FL 33607-6308
Phone: (813) 870-4000
Fax: (855) 527-5510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 14276 | Hawaii |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 14276 | Hawaii |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ME128736 | Florida |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME128736 | Florida |
Profile Details
| NPI number | 1396953022 |
|---|---|
| LBN Legal business name | Clark, Aaron |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Feb 22nd, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396953022 | NPPES |
| Florida | MEDICAID | 019105700 |
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