Organization
MEDICAL HOME PL
Active
Other names
AllCare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED ELTON CLARK III M.D. (OWNER)
(727) 525-4401
Entity
Organization
Contact information
Practice address
4401 4TH ST N, SAINT PETERSBURG, FL 33703-4728
(727) 525-4401
(727) 525-7788
Mailing address
PO BOX 7651, SAINT PETERSBURG, FL 33734-7651
(727) 922-0009
(727) 525-7788
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME102187
FL
Other
Enumeration date
07/16/2014
Last updated
06/11/2022
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