Individual
MR. BON M CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1541 MEDICAL DR, TALLAHASSEE, FL 32308-4615
(850) 431-7816
Mailing address
1541 MEDICAL DR, TALLAHASSEE, FL 32308-4615
(850) 431-7816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11020362
FL
Other
Enumeration date
06/21/2022
Last updated
08/05/2022
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