Clark, Clifford P
Clark, Clifford P is an sole proprietor health care provider with primary practice located at 701 W Morse Blvd , Winter Park FL 32789-3731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Clark, Clifford P can be contacted via phone (407) 629-5555.Contact Information
Primary practice address
701 W Morse Blvd
Winter Park FL 32789-3731
Phone: (407) 629-5555
Fax: (407) 629-4884
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ME0065670 | Florida |
Profile Details
| NPI number | 1770666729 |
|---|---|
| LBN Legal business name | Clark, Clifford P |
| Credentials | M.D., P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - 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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