# CLARKSON & COLLINS DO PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oakhurst Medical Clinic and Eastbay Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245450006
- **Authorized official:** MS. MARIANNE FISHER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (727) 393-3404

## Contact information

- **Practice address:** 13020 PARK BLVD, SEMINOLE, FL 33776-3639
- **Practice address phone:** (727) 393-3404
- **Practice address fax:** (727) 394-1804
- **Mailing address:** 13020 PARK BLVD, SEMINOLE, FL 33776-3639
- **Mailing address phone:** (727) 393-3404
- **Mailing address fax:** (727) 393-4814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 07/21/2011