Organization
ROBERT E CLAYTON 11 MD MEDICAL-WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN CLAYTON (ADMINSTRATOR)
(321) 258-8034
Entity
Organization
Contact information
Practice address
231 MCLEOD ST, MERRITT ISLAND, FL 32953-3463
(321) 555-5555
Mailing address
231 MCLEOD ST, MERRITT ISLAND, FL 32953-3463
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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