Owen, Clarence H

Owen, Clarence H is an individual health care provider with primary practice located at 270 S Moon Ave , Brandon FL 33511-5711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Owen, Clarence H can be contacted via phone (813) 571-9988.

Contact Information

Primary practice address
270 S Moon Ave Brandon FL 33511-5711
Phone: (813) 571-9988
Fax: (813) 571-9922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME157851 Florida
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 33925 North Carolina

Profile Details

NPI number 1811992647
LBN Legal business name Owen, Clarence H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811992647 NPPES
North Carolina Other 780001235 RR MCR
North Carolina Other 1807389 RR MCR
North Carolina Other 1136E RR MCR
North Carolina MEDICAID 891136E RR MCR
North Carolina Other 80107 RR MCR

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