Clark, Richard O

Clark, Richard O is an individual health care provider with primary practice located at 1717 N E St Suite 331, Pensacola FL 32501-6339. 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, Richard O can be contacted via phone (850) 444-1717.

Contact Information

Primary practice address
1717 N E St Suite 331 Pensacola FL 32501-6339
Phone: (850) 444-1717
Fax: (850) 444-1755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA000270 Florida

Profile Details

NPI number 1932109105
LBN Legal business name Clark, Richard O
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 11th, 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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