Individual
AARON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6308
(813) 870-4000
(855) 527-5510
Mailing address
1300 SAWGRASS CORPORATE PKWY STE 200, SUNRISE, FL 33323-2823
(800) 243-3839
(855) 527-5510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
14276
HI
208000000X
Pediatrics Physician
ME128736
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
14276
HI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME128736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019105700
—
FL
Enumeration date
05/18/2007
Last updated
02/22/2017
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