Individual
CLIFFORD NEIL SHARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
741 DUNLAWTON AVE, PORT ORANGE, FL 32127-9226
(386) 761-6665
(386) 760-2369
Mailing address
741 DUNLAWTON AVE, PORT ORANGE, FL 32127-9226
(386) 761-6665
(386) 760-2369
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 0031647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039348700
—
FL
Enumeration date
06/08/2005
Last updated
03/24/2010
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