Individual
KARI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 SE OCEAN BLVD, STUART, FL 34996-2576
(772) 781-0222
(772) 781-0008
Mailing address
1027 SE OCEAN BLVD, STUART, FL 34996-2576
(772) 781-0222
(772) 781-0008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
UO2438
FL
207RI0011X
Interventional Cardiology Physician
Primary
OS14471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13543885
MULTIPLAN
FL
01
—
2635514
HUMANA
—
01
—
HL6TF
BC
FL
Enumeration date
01/05/2016
Last updated
03/21/2018
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