Darwin K Clark in Orlando - Diagnostic Radiology

Darwin K Clark - NPI 1104883008

Darwin K Clark is a Diagnostic Radiology in Orlando, Florida. Darwin K Clark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Darwin K Clark is 1104883008. The last update date is 2023-03-24.

Darwin K Clark's current location address is 52 W Underwood St, Orlando, Florida. You can contact this provider via phone number 3218428475 and fax number 4078496470. The mailing address for Darwin K Clark is 52 W Underwood St, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Darwin K Clark
Address 52 W Underwood St, Orlando, Florida
Phone Number 3218428475
Fax Number 4078496470
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104883008
Provider Enumeration Date 2006-04-26
Last Updated Date 2023-03-24

Provider Mailing Address Detail

Address 52 W Underwood St
City Orlando
State Florida (FL)
Post Code 328061110
Phone Number 3218428475
Fax Number 4078496470

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No ME105606
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1487U FL BCBS
300050665 TX RAILROAD MEDICARE
85R856 TX BC BS
1685200 FL --
CS129Y FL MEDICARE PTAN OHRI
PR781 FL MEDICARE PTAN OHMG

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FAQs about Darwin K Clark

What is the unique identifier code issued to Darwin K Clark by the Centers for Medicare & Medicaid Services?

The Darwin K Clark has been assigned the NPI (National Provider Identifier) 1104883008. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Darwin K Clark located?

The Darwin K Clark is located at 52 W Underwood St, Orlando, FL 328061110.

What is Darwin K Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Darwin K Clark's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.

On what date did the Darwin K Clark receive the assignment of its 1104883008 from the Centers for Medicare & Medicaid Services?

The Darwin K Clark was issued its 1104883008 by the Centers for Medicare & Medicaid Services on 2006-04-26.

As of what date were the Darwin K Clark's details last updated?

The information pertaining to the Darwin K Clark, including its address, specialty, and other details, was most recently updated on 2023-03-24.

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