Altamonte OB GYN Assoc Clark & Perlstein MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

69-01-025691-82 Issued in FL

Legal business name

ALTAMONTE OB GYN ASSOC CLARK & PERLSTEIN MD PA

Practice address

475 Osceola St
Suite 1200
Altamonte Springs, FL 32701-7857

Phone

(407) 339-9500

Fax

(407) 339-2266

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. James Elliot Clark, M.D.

Title

President

Phone

(407) 339-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1598079998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 OSCEOLA ST",
            "address_2": "SUITE 1200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017857",
            "telephone_number": "407-339-9500",
            "fax_number": "407-339-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 OSCEOLA ST",
            "address_2": "SUITE 1200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327017857",
            "telephone_number": "407-339-9500",
            "fax_number": "407-339-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE OB GYN ASSOC CLARK & PERLSTEIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-339-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "69-01-025691-82",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, BCBS PIN",
            "identifier": "39993",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.