Meridith Jill Clark in Spring Hill - Physician Assistant
Meridith Jill Clark - NPI 1730173899
Meridith Jill Clark is a Physician Assistant in Spring Hill, Florida. Meridith Jill Clark practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Meridith Jill Clark is 1730173899. The last update date is 2008-04-16.
Meridith Jill Clark's current location address is 1180 Mariner Blvd, Spring Hill, Florida. You can contact this provider via phone number 7279433111 and fax number 7279433334. The mailing address for Meridith Jill Clark is 1180 Mariner Blvd, Spring Hill, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Meridith Jill Clark |
|---|---|
| Address | 1180 Mariner Blvd, Spring Hill, Florida |
| Phone Number | 7279433111 |
| Fax Number | 7279433334 |
| Sole Proprietor | Y |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1730173899 |
|---|---|
| Provider Enumeration Date | 2005-09-06 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | 1180 Mariner Blvd |
|---|---|
| City | Spring Hill |
| State | Florida (FL) |
| Post Code | 346095603 |
| Phone Number | 7279433111 |
| Fax Number | 7279433334 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9101273 |
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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 |
|---|---|---|---|
| P00210547 | FL | MEDICARE RR |
Post Comment/ Review Below
What is the unique identifier code issued to Meridith Jill Clark by the Centers for Medicare & Medicaid Services (CMS)?
The Meridith Jill Clark has been assigned the NPI (National Provider Identifier) 1730173899. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Meridith Jill Clark's facilities are geographically located?
The facilities of Meridith Jill Clark are physically situated at the following location: 1180 Mariner Blvd, Spring Hill, FL, 346095603.
What is Meridith Jill Clark's area of expertise and its corresponding taxonomy classification?
The Meridith Jill Clark's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Meridith Jill Clark receive its 1730173899 assignment from the Centers for Medicare & Medicaid Services?
The Meridith Jill Clark was assigned its 1730173899 by the Centers for Medicare & Medicaid Services on 2005-09-06.
As of what date were the details pertaining to Meridith Jill Clark last refreshed?
The information related to the Meridith Jill Clark, including its address, specialty, and other relevant details, was last updated on 2008-04-16.