Individual
DR. MICHAEL LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(855) 674-4624
(941) 883-8386
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036132955
IL
2085R0202X
Diagnostic Radiology Physician
Primary
OS13601
FL
Other
Enumeration date
06/26/2010
Last updated
01/03/2024
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