Individual
DR. CAMILLE COATES-CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. FAAOS.
Contact information
Practice address
1601 SW ARCHER ROAD, MALCOLM RANDALL NF/SG VETERANS HEALTH SYSTEM, GAINESVILLE, FL 32608
(352) 376-1611
Mailing address
1601 SW ARCHER RD, MALCOLM RANDALL NF/SG VETERANS HEALTH SYSTEM, GAINESVILLE, FL 32608-1135
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME 86871
FL
Other
Enumeration date
05/18/2007
Last updated
08/14/2013
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