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Individual

CLARENCE C WHITCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11700 SW 104TH AVE, MIAMI, FL 33176-4071
(305) 253-3885
Mailing address
11700 SW 104TH AVE, MIAMI, FL 33176-4071
(305) 253-3885

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME38821
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0401901-00
FL
Enumeration date
07/27/2006
Last updated
10/18/2016
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