Individual
VICTORIA E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(480) 301-8000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
267578
MA
207T00000X
Neurological Surgery Physician
Primary
ME167420
FL
207T00000X
Neurological Surgery Physician
U2809
TX
Other
Enumeration date
06/07/2016
Last updated
09/04/2024
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