Individual
DR. ROBERT A CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-3205
(727) 450-1144
Mailing address
2810 W SAINT ISABEL ST, SUITE 201, TAMPA, FL 33607-6375
(813) 890-8004
(727) 518-0762
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0051405
FL
Other
Enumeration date
05/08/2006
Last updated
10/07/2015
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