Clark, Michael J

Clark, Michael J is an individual health care provider with primary practice located at 1099 Citrus Tower Blvd , Clermont FL 34711-1947. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Clark, Michael J can be contacted via phone (352) 394-4071.

Contact Information

Primary practice address
1099 Citrus Tower Blvd Clermont FL 34711-1947
Phone: (352) 394-4071
Fax: (904) 346-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0002555 Florida

Profile Details

NPI number 1063511921
LBN Legal business name Clark, Michael J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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