Clark Family Medicine

LBN: Clark Family Medicine
Clark Family Medicine is an health care organization with primary practice located at 12815 Us Highway 98 W Ste 116 , Miramar Beach FL 32550-3245. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Clark Family Medicine can be contacted via phone (850) 269-0111, or through Clark, Lisa Bardy via phone (850) 269-0111.

Contact Information

Primary practice address
12815 Us Highway 98 W Ste 116 Miramar Beach FL 32550-3245
Phone: (850) 269-0111
Fax: (850) 269-0114
Website:
Map and Directions
Authorized official contact:
Name: Clark, Lisa Bardy Doctor of Medicine (MD)
Phone: (850) 269-0111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME0073997 Florida

Profile Details

NPI number 1194199919
LBN Legal business name Clark Family Medicine
DBA Doing business as
Authorized official Clark, Lisa Bardy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2015
Last updated Nov 17th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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