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Clark Clinic Inc

Organization Active NPI Internal Medicine Physician · Oxford, FL

NPI 1134873011 · NPPES record last updated Feb 9, 2022

Key facts

NPI
1134873011
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
CLARK CLINIC INC
Practice address
10840 N US Highway 301
Oxford, FL 34484-3558
Phone
(352) 787-1600
NPI assigned
Feb 9, 2022
Organization subpart
No

Authorized official

Name
Lowell F. Clark NPI 1336103563
Title
Medical Director
Phone
(352) 793-2441

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Clark Clinic Inc (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X Yes

Addresses

Primary practice location

10840 N US Highway 301
Oxford, FL 34484-3558

Mailing address

212 S Fla St
Bushnell, FL 33513-6703
Phone (352) 793-2441

Other providers in Oxford, FL

All providers in Oxford, FL · Internal Medicine Physician in Florida

Sources for this page

Verify at the official NPI Registry.