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Individual

DR. PERRIN C CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1050 W GRANADA BLVD, SUITE 4, ORMOND BEACH, FL 32174-8154
(386) 677-8808
(386) 677-9919
Mailing address
15280 NW 79TH CT STE 200, MIAMI LAKES, FL 33016-5873
(305) 558-3732
(786) 907-4485

Taxonomy

Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
N2444
TX

Other

Enumeration date
01/28/2006
Last updated
04/25/2024
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