Individual
JANICE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME104039
FL
207RI0011X
Interventional Cardiology Physician
45950
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001076000
—
FL
Enumeration date
12/27/2005
Last updated
09/03/2009
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