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Individual

DR. JOHN F. CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
13000 BRUCE B. DOWNS BLVD, TAMPA, FL 33612
(352) 597-8287
(352) 597-7060
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(352) 597-8287
(352) 597-7060

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 3277
FL
213EP1101X
Primary Podiatric Medicine Podiatrist
PO 3277
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340648200
FL
01
65962
BLUE CROSS - FLORIDA
FL
Enumeration date
06/20/2007
Last updated
06/30/2010
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