Jessica L Clark Md Llc

LBN: Jessica L Clark Md Llc
Jessica L Clark Md Llc is an health care organization with primary practice located at 600 Grand Panama Blvd , Panama City Beach FL 32407-3459. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Jessica L Clark Md Llc can be contacted via phone (233) 767-4850, or through Skyrm, Raun D via phone (330) 256-0533.

Contact Information

Primary practice address
600 Grand Panama Blvd Panama City Beach FL 32407-3459
Phone: (233) 767-4850
Fax: (330) 595-4727
Website:
Map and Directions
Authorized official contact:
Name: Skyrm, Raun D
Phone: (330) 256-0533

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1184342578
LBN Legal business name Jessica L Clark Md Llc
DBA Doing business as
Authorized official Skyrm, Raun D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2022
Last updated Aug 22nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184342578 NPPES
Other 0 NONE YET

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