Clarke, Mark Anthony
Clarke, Mark Anthony is an individual health care provider with primary practice located at 731 N Clyde Morris Blvd , Daytona Beach FL 32114-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Clarke, Mark Anthony can be contacted via phone (386) 257-1626.Contact Information
Primary practice address
731 N Clyde Morris Blvd
Daytona Beach FL 32114-1603
Phone: (386) 257-1626
Fax: (866) 899-3686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME60495 | Florida |
Profile Details
| NPI number | 1477513166 |
|---|---|
| LBN Legal business name | Clarke, Mark Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Dec 5th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477513166 | NPPES |
| Florida | MEDICAID | 2690098-00 |
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