Individual
DR. EILIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME80041
FL
2084P0800X
Psychiatry Physician
Primary
9601164
NC
2084P0800X
Psychiatry Physician
ME80041
FL
Other
Enumeration date
08/28/2006
Last updated
03/20/2025
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