Individual
JANET E CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0067790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050079777
MCRR
FL
01
—
0867335
CIGNA
FL
01
—
2488479
AETNA
FL
05
—
260754900
—
FL
01
—
51855
BSFL
FL
01
—
51855Z
MCR
FL
Enumeration date
10/21/2005
Last updated
06/15/2012
Update your record
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