Clifford P Clark MD P a

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CLIFFORD P CLARK MD P A

Practice address

701 W Morse Blvd
Winter Park, FL 32789-3749

Phone

(407) 629-5555

NPI assigned

Aug 2, 2017

Organization subpart

No

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

Authorized official

Name

Clifford Clark III, MD

Title

Owner

Phone

(407) 629-5555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1891219614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W MORSE BLVD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893749",
            "telephone_number": "407-629-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD P CLARK MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-629-5555",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Claudio
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• Jennifer Clayton, NP
• Joseph Garrett Clemens, PSY.D., LP
• Brieana Clennon
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• Coast Florida P.a. (Coast Dental-Winter Park)
• Daisy Cobian, M.S.W.
• James Joseph Coccia
• Megan Marie Coccia, BCBA

• Plastic Surgery Physician in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.