Individual
CLIFTON CONFIDENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7550 43RD ST N, PINELLAS PARK, FL 33781-3601
(727) 824-8181
(727) 541-7984
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME109710
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010890900
—
FL
Enumeration date
05/30/2007
Last updated
10/21/2016
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