Clark, Meridith Jill
Clark, Meridith Jill is an sole proprietor health care provider with primary practice located at 43309 Us Highway 19 N , Tarpon Springs FL 34689-6221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Clark, Meridith Jill can be contacted via phone (727) 943-3111.Contact Information
Primary practice address
43309 Us Highway 19 N
Tarpon Springs FL 34689-6221
Phone: (727) 943-3111
Fax: (727) 943-3334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9101273 | Florida |
Profile Details
| NPI number | 1730173899 |
|---|---|
| LBN Legal business name | Clark, Meridith Jill |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Apr 16th, 2008 - about 16 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 | 1730173899 | NPPES |
| Florida | Other | P00210547 | MEDICARE RR |
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