Clarkson & Collins DO PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CLARKSON & COLLINS DO PA

Doing business as

Oakhurst Medical Clinic and Eastbay Medical Center

Practice address

13020 Park Blvd
Seminole, FL 33776-3639

Phone

(727) 393-3404

Fax

(727) 394-1804

NPI assigned

Apr 26, 2007

Last updated

Jul 21, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marianne Fisher

Title

Chief Executive Officer

Phone

(727) 393-3404

Specialties & licenses 1

Addresses

Other names 1

• Oakhurst Medical Clinic and Eastbay Medical Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1245450006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763639",
            "telephone_number": "727-393-3404",
            "fax_number": "727-393-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763639",
            "telephone_number": "727-393-3404",
            "fax_number": "727-394-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSON & COLLINS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-393-3404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakhurst Medical Clinic and Eastbay Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Babette Marie Cicero, RN
• Ashley Nicole Clark, DMD
• Bobbie Cherryl Clark, RPTA
• Melissa Clark, RN
• Skyler Clark, DMD
• Frederick Wesley Clarkson, DO
• Todd Frederick Clarkson, DO
• Claude Daniel McMullen
• Clearwater Medical and Consulting LLC (Injury Health Center)
• William Gates Clokey, DMD

• General Practice Physician in Seminole, FL
• Providers in Seminole, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.