Lowell F. Clark MD PA

NPI #1144853078 in Sorrento, Florida

Provider Information

NPI Number
1144853078
Entity Type
Organization
Organization Name
Lowell F. Clark MD PA
Primary Specialty
Clinic/Center
Enumeration Date
Feb 19, 2020
Last Updated
Feb 24, 2020

Practice Location

Address
31450 CHURCH ST
State
Florida
ZIP Code
32776-9594
Phone
(352) 735-4044

Authorized Official

Name
LOWELL F. CLARK
Title
OWNER
Phone
(352) 793-2441

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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