Individual
DR. THOMAS H CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 S HICKORY ST, HOLMES REGIONAL MEDICAL CENTER, MELBOURNE, FL 32901-3224
(321) 434-7313
(321) 434-7238
Mailing address
PO BOX 561600, ROCKLEDGE, FL 32956-1600
(321) 434-4600
(321) 259-0635
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME38347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051952900
—
FL
Enumeration date
01/04/2006
Last updated
06/08/2012
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