Individual
DR. CLIFFORD P CLARK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.A.
Contact information
Practice address
701 W MORSE BLVD, WINTER PARK, FL 32789-3731
(407) 629-5555
(407) 629-4884
Mailing address
701 W MORSE BLVD, WINTER PARK, FL 32789-3731
(407) 629-5555
(407) 629-4884
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME0065670
FL
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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