CLARK LTC PA - NPI 1104507235 - Internal Medicine in Bushnell, FL

Q: What is Clark Ltc PA's NPI number?

The NPI number for Clark Ltc PA is 1104507235. It was assigned to this organization in the NPPES registry on July 31, 2023.

Q: What is Clark Ltc PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Clark Ltc PA was last updated on July 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Clark Ltc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARK LTC PA (NPI 1104507235) is a healthcare organization registered as an internal medicine in Bushnell, Florida and active in the NPI registry since July 2023. The organization lists Lowell F Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1104507235

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCLARK LTC PA

Location Address212 S FLORIDA STBushnell, FL 33513-6703

Mailing Address212 S Florida StBushnell, FL 33513-6703 · (352) 793-2441

Phone(352) 793-2441

Organization SubpartNo

Authorized OfficialLowell F ClarkOwner · (352) 793-2441

Enumeration DateJuly 31, 2023

NPPES CertifiedJuly 31, 2023

✔ NPI 1104507235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

212 S FLORIDA ST, Bushnell, FL 33513

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP