Individual
FREDERICK WESLEY CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
OAKHURST MEDICAL CLINIC, 130 20 PARK BLVD, SEMINOLE, FL 33776
(727) 393-3404
(727) 393-4814
Mailing address
OAKHURST MEDICAL CLINIC, 130 20 PARK BLVD, SEMINOLE, FL 33776
(727) 393-3404
(727) 393-4814
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS0002968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2361160
AETNA
—
01
—
284247
AVMED
—
Enumeration date
07/10/2006
Last updated
07/08/2007
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