Organization
CLARK CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH E FOLK ED.D. (PRESIDENT)
(352) 793-2441
Entity
Organization
Contact information
Practice address
212 S FLORIDA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
(352) 793-2649
Mailing address
212 S FLORIDA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
(352) 793-2649
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
FL
Other
Enumeration date
07/31/2007
Last updated
12/27/2007
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