Individual
DR. CLARENCE HENRY CLAY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(727) 507-3607
Mailing address
1110 S MOODY AVE, TAMPA, FL 33629-4725
(727) 452-3066
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME109382
FL
Other
Enumeration date
10/01/2008
Last updated
11/30/2012
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