Carol D. Clark in Fort Myers - Gerontology

Carol D. Clark - NPI 1457423055

Carol D. Clark is a Gerontology in Fort Myers, Florida. Carol D. Clark practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Carol D. Clark is 1457423055. The last update date is 2022-02-14.

Carol D. Clark's current location address is 13880 Shell Point Plaza, Fort Myers, Florida. You can contact this provider via phone number 2394661111 and fax number 2394542111. The mailing address for Carol D. Clark is 13880 Shell Point Plaza, Fort Myers, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Carol D. Clark
Address 13880 Shell Point Plaza, Fort Myers, Florida
Phone Number 2394661111
Fax Number 2394542111
Sole Proprietor N
Credentials ARNP, BC

NPI Number Detail

NPI Number 1457423055
Provider Enumeration Date 2006-11-15
Last Updated Date 2022-02-14

Provider Mailing Address Detail

Address 13880 Shell Point Plaza
City Fort Myers
State Florida (FL)
Post Code 339083504
Phone Number 2394661111
Fax Number 2394542111

Provider's Primary Taxonomy Detail

Speciality Gerontology
Taxonomy 363Lg0600X
Licence No ARNP9191162
Definition:
An advanced practice registered nurse expert in providing care to older adult patients.

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FAQs about Carol D. Clark

What is the unique 10-digit identification code assigned to Carol D. Clark by the Centers for Medicare & Medicaid Services?

The Carol D. Clark has been issued the NPI (National Provider Identifier) 1457423055, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Carol D. Clark is geographically located?

The Carol D. Clark is physically situated at the following location: 13880 Shell Point Plaza, Fort Myers, FL, 339083504.

What is Carol D. Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Carol D. Clark is Gerontology, and the taxonomy code that categorizes this field of expertise is 363Lg0600X.

When did the Carol D. Clark receive its 1457423055?

The Carol D. Clark was issued its 1457423055 on 2006-11-15, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Carol D. Clark last refreshed?

The information related to the Carol D. Clark, including its address, specialty, and other relevant details, was last updated on 2022-02-14.

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