Jack Clark is a Rheumatology in Fort Myers, Florida. Jack Clark practices all healthcare services and medical treatments related to Rheumatology. The NPI Number for Jack Clark is 1073563847. The last update date is 2021-09-29.
Jack Clark's current location address is 2675 Winkler Ave Fl 2, Fort Myers, Florida. You can contact this provider via phone number 8778563774 and fax number 2395992612. The mailing address for Jack Clark is 2675 Winkler Ave Fl 2, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Clark |
|---|---|
| Address | 2675 Winkler Ave Fl 2, Fort Myers, Florida |
| Phone Number | 8778563774 |
| Fax Number | 2395992612 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1073563847 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2021-09-29 |
Provider Mailing Address Detail
| Address | 2675 Winkler Ave Fl 2 |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339019342 |
| Phone Number | 8778563774 |
| Fax Number | 2395992612 |
Provider's Primary Taxonomy Detail
| Speciality | Rheumatology |
|---|---|
| Taxonomy | 207Rr0500X |
| Licence No | OS8284 |
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Definition: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 272380800 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Clark by the Centers for Medicare & Medicaid Services?
The Jack Clark has been issued the NPI (National Provider Identifier) 1073563847, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jack Clark's facilities are geographically located?
The facilities of Jack Clark are physically situated at the following location: 2675 Winkler Ave Fl 2, Fort Myers, FL, 339019342.
What is Jack Clark's area of expertise and its corresponding taxonomy classification?
The Jack Clark's field of specialization is Rheumatology, and it falls under the taxonomy code 207Rr0500X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1073563847 assigned to Jack Clark?
The Jack Clark was issued its 1073563847 on 2006-05-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jack Clark most recently updated or revised?
The information pertaining to Jack Clark, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-29.