Clark Family Medicine
NPI #1194199919 in Miramar Beach, Florida
Provider Information
- NPI Number
- 1194199919
- Entity Type
- Organization
- Organization Name
- Clark Family Medicine
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 17, 2015
- Last Updated
- Nov 17, 2015
Practice Location
- Address
- 12815 US HIGHWAY 98 W STE 116
- City
- Miramar Beach
- State
- Florida
- ZIP Code
- 32550-3245
- Phone
- (850) 269-0111
Authorized Official
- Name
- DR. LISA BARDY CLARK, M.D.
- Title
- OWNER
- Phone
- (850) 269-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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