Dr Eilis Clark Md
LBN: Nature Coast Psychiatry Pllc
Dr Eilis Clark Md is an health care organization with primary practice located at 210 S Salisbury Ter , Lecanto FL 34461-5104. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Nature Coast Psychiatry Pllc can be contacted via phone (352) 631-7460, or through Clark, Eilis via phone (352) 631-7460.
Contact Information
Primary practice address
210 S Salisbury Ter
Lecanto FL 34461-5104
Phone: (352) 631-7460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1174185276 |
|---|---|
| LBN Legal business name | Nature Coast Psychiatry Pllc |
| DBA Doing business as | Dr Eilis Clark Md |
| Authorized official | Clark, Eilis Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 28th, 2019 |
| Last updated | Jan 4th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174185276 | NPPES |
| Florida | MEDICAID | 011682400 |
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