Clark, Sara E

Clark, Sara E is an individual health care provider with primary practice located at 1824 King St Ste 200, Jacksonville FL 32204-4735. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Clark, Sara E can be contacted via phone (904) 384-3343.

Contact Information

Primary practice address
1824 King St Ste 200 Jacksonville FL 32204-4735
Phone: (904) 384-3343
Fax: (904) 400-6671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME119747 Florida

Profile Details

NPI number 1972795755
LBN Legal business name Clark, Sara E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Nov 23rd, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972795755 NPPES
Florida MEDICAID 012215400
Florida MEDICAID 003150412A
Florida Other P01385159

Popular Providers