Clarkson, Carol Ann

Clarkson, Carol Ann is an individual health care provider with primary practice located at 9836 Us Highway 301 S , Riverview FL 33569-5829. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Clarkson, Carol Ann can be contacted via phone (813) 677-2995.

Contact Information

Primary practice address
9836 Us Highway 301 S Riverview FL 33569-5829
Fax: (813) 677-5549
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 3147 Florida

Profile Details

NPI number 1902913890
LBN Legal business name Clarkson, Carol Ann
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jun 15th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902913890 NPPES
Florida MEDICAID 630055300

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