Michael J Clark in Orlando - Physician Assistant
Michael J Clark - NPI 1063511921
Michael J Clark is a Physician Assistant in Orlando, Florida. Michael J Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael J Clark is 1063511921. The last update date is 2007-07-08.
Michael J Clark's current location address is Po Box 628296, Orlando, Florida. You can contact this provider via phone number 4077419418 and fax number 9043460113. The mailing address for Michael J Clark is Po Box 628296, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael J Clark |
|---|---|
| Address | Po Box 628296, Orlando, Florida |
| Phone Number | 4077419418 |
| Fax Number | 9043460113 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063511921 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 628296 |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328628296 |
| Phone Number | 4077419418 |
| Fax Number | 9043460113 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA0002555 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Michael J Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Michael J Clark has been assigned the NPI (National Provider Identifier) 1063511921. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Michael J Clark?
The Michael J Clark is physically situated at Po Box 628296, in the city of Orlando, state of FL, with the postal code 328628296.
What is Michael J Clark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Michael J Clark is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063511921 to Michael J Clark?
The Centers for Medicare & Medicaid Services originally issued the 1063511921 to Michael J Clark on 2006-09-21.
As of what date was the information pertaining to Michael J Clark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael J Clark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY