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Individual

DR. DWIGHT CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
646 VIRGINIA ST STE 421, DUNEDIN, FL 34698
(727) 734-6932
(727) 734-4516
Mailing address
PO BOX 2216, DUNEDIN, FL 34697-2216
(727) 734-6932
(727) 734-4516

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
32231
AZ
207RI0200X
Infectious Disease Physician
Primary
ME173139
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250094900
FL
05
859142
AZ
01
AZ0756690
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/15/2005
Last updated
02/25/2026
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