Clark, Anthony Jose

Clark, Anthony Jose is an individual health care provider with primary practice located at 1899 Eider Ct Kwb Pathology Assoc. District 2 O.M.E, Tallahassee FL 32308-4537. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is his primary health care specialty. Clark, Anthony Jose can be contacted via phone (850) 942-7473.

Contact Information

Primary practice address
1899 Eider Ct Kwb Pathology Assoc. District 2 O.M.E Tallahassee FL 32308-4537
Phone: (850) 942-7473
Fax: (850) 877-0384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 035588 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 035588 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X ME99459 Florida
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X ME99459 Florida

Profile Details

NPI number 1477754976
LBN Legal business name Clark, Anthony Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Nov 7th, 2008 - about 17 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.

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