Scott Clark is a Physician Assistant in Maitland, Florida. Scott Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Scott Clark is 1255440475. The last update date is 2022-07-21.
Scott Clark's current location address is 151 Southhall Ln Ste 300, Maitland, Florida. You can contact this provider via phone number 4078752080 and fax number 4076503455. The mailing address for Scott Clark is 151 Southhall Ln Ste 300, Maitland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Clark |
|---|---|
| Address | 151 Southhall Ln Ste 300, Maitland, Florida |
| Phone Number | 4078752080 |
| Fax Number | 4076503455 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1255440475 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 151 Southhall Ln Ste 300 |
|---|---|
| City | Maitland |
| State | Florida (FL) |
| Post Code | 327517172 |
| Phone Number | 4078752080 |
| Fax Number | 4076503455 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA3724 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300867600 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Scott Clark by the Centers for Medicare & Medicaid Services?
The Scott Clark has been issued the NPI (National Provider Identifier) 1255440475. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Scott Clark?
The Scott Clark is physically situated at 151 Southhall Ln Ste 300, in the city of Maitland, state of FL, with the postal code 327517172.
What is Scott Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Scott Clark is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Scott Clark receive its 1255440475 assignment from the Centers for Medicare & Medicaid Services?
The Scott Clark was assigned its 1255440475 by the Centers for Medicare & Medicaid Services on 2006-08-30.
When was the information regarding Scott Clark most recently updated?
The details pertaining to the Scott Clark, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.