Individual
DR. ASTRID GRACE CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 POWDER HORN DR, PALM COAST, FL 32164-6703
(203) 435-6807
Mailing address
1 POWDER HORN DR, PALM COAST, FL 32164-6703
(203) 435-6807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
038741
CT
207R00000X
Internal Medicine Physician
Primary
ME119280
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001387415
—
CT
Enumeration date
09/15/2006
Last updated
03/25/2025
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