Organization
CLARK CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL F. CLARK (MEDICAL DIRECTOR)
(352) 793-2441
Entity
Organization
Contact information
Practice address
10840 N US HIGHWAY 301, OXFORD, FL 34484-3558
(352) 787-1600
Mailing address
212 S FLA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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