Organization
CLARK HEALTH LTC PA
Active
Organization
CLARK HEALTH LTC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL CLARK MD (OWNER)
(352) 793-2441
Entity
Organization
Contact information
Practice address
212 S FLA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
Mailing address
212 S FLA ST, BUSHNELL, FL 33513-6703
(352) 793-2441
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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