Clark, Michael

Clark, Michael is an individual health care provider with primary practice located at 10600 Riverside Drive , Coral Springs FL 33071-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Clark, Michael can be contacted via phone (954) 812-5661.

Contact Information

Primary practice address
10600 Riverside Drive Coral Springs FL 33071-3307
Phone: (954) 812-5661
Fax: (954) 812-5661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 1624 Florida

Profile Details

NPI number 1942715255
LBN Legal business name Clark, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2017
Last updated Dec 8th, 2017 - about 8 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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