Individual
DR. JOHN MITCHELL CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1615 PASADENA AVE S, SUITE 330, SOUTH PASADENA, FL 33707-4516
(727) 345-2929
(727) 345-0340
Mailing address
1615 PASADENA AVE S, SUITE 330, SOUTH PASADENA, FL 33707-4516
(727) 345-2929
(727) 345-0340
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0012246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040195100
—
FL
Enumeration date
09/05/2006
Last updated
08/26/2016
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