Organization
CLARK CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOWELL F CLARK MD (PRESIDENT)
(352) 793-2441
Entity
Organization
Contact information
Practice address
910 W MYERS BLVD, MASCOTTE, FL 34753-9748
(352) 787-1600
(352) 793-3282
Mailing address
212 S FLORIDA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
(866) 407-0034
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
04/09/2018
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