Clark, Michael E

Clark, Michael E is an sole proprietor health care provider with primary practice located at 13000 Bruce B Downs Blvd Pain Program (2Cw), Tampa FL 33612-4745. He recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as his primary health care specialty. Clark, Michael E can be contacted via phone (813) 972-2000.

Contact Information

Primary practice address
13000 Bruce B Downs Blvd Pain Program (2Cw) Tampa FL 33612-4745
Phone: (813) 972-2000
Fax: (813) 978-5867
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X PY3564 Florida

Profile Details

NPI number 1487626172
LBN Legal business name Clark, Michael E
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2006
Last updated Jul 12th, 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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