Jason M Clark MD

NPI 1649421132 - Surgery - 208600000X

NPI Details
NPI 1649421132
Gender Male
Enumeration Date 10/02/2008
Last Updated 09/04/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1234 SE MAGNOLIA EXT
UNIT 1
OCALA FL, 34471-4341, US
Phone (352) 401-1218
Fax (352) 401-1017
Business Location
1234 SE MAGNOLIA EXT
UNIT 1
OCALA FL, 34471-4341, US
Phone (352) 401-1218
Fax (352) 401-1017
Toxanomy
Taxonomy Code 208600000X
License State Florida
License Number ME111874
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According to our database, Dr. Jason M Clark MD NPI is 1649421132, taxonomy code is 208600000X and license number is ME111874, license state is located at Florida. Jason M Clark MD physically located at 1234 Se Magnolia Ext, Ocala FL, 34471-4341. NPI Number Jason M Clark MD has the Individual type.

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1649421132 NPI number is provided on an as is basis without warranty of any kind. 1649421132 is maintained by the National Plan & Provider Enumeration System. The contents of Jason M Clark MD are for informational purposes only.