Individual
DR. KAREN K. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
(813) 979-3615
Mailing address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
01048900
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200285450
—
IN
Enumeration date
07/20/2006
Last updated
06/06/2011
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