Eilis Clark MD

NPI 1073621215 - Family Medicine - 207Q00000X

NPI Details
NPI 1073621215
Gender Female
Enumeration Date 08/28/2006
Last Updated 12/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2804 W MARC KNIGHTON CT
SUITE A
LECANTO FL, 34461-6300, US
Phone (352) 746-8067
Fax (352) 746-8069
Business Location
2804 W MARC KNIGHTON CT
SUITE A
LECANTO FL, 34461-6300, US
Phone (352) 746-8067
Fax (352) 746-8069
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME80041
Remove 1073621215 NPI Number
 

According to our database, Dr. Eilis Clark MD NPI is 1073621215, taxonomy code is 207Q00000X and license number is ME80041, license state is located at Florida. Eilis Clark MD physically located at 2804 W Marc Knighton Ct, Lecanto FL, 34461-6300. NPI Number Eilis Clark MD has the Individual type.

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1073621215 NPI number is provided on an as is basis without warranty of any kind. 1073621215 is maintained by the National Plan & Provider Enumeration System. The contents of Eilis Clark MD are for informational purposes only.