Clark, Jason M
Clark, Jason M is an individual health care provider with primary practice located at 1234 Se Magnolia Ext Unit 1, Ocala FL 34471-3770. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Clark, Jason M can be contacted via phone (352) 401-1218.Contact Information
Primary practice address
1234 Se Magnolia Ext Unit 1
Ocala FL 34471-3770
Phone: (352) 401-1218
Fax: (352) 401-1017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME111874 | Florida |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | ME111874 | Florida |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | ME111874 | Florida |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | ME111874 | Florida |
Profile Details
| NPI number | 1649421132 |
|---|---|
| LBN Legal business name | Clark, Jason M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2008 |
| Last updated | Feb 11th, 2022 - about 2 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 | 1649421132 | NPPES |
| Florida | MEDICAID | 007273600 |
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