Lowell F Clark MD PA

NPI #1871267195 in Mascotte, Florida

Provider Information

NPI Number: 1871267195
Entity Type: Organization
Organization Name: Lowell F Clark MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Aug 2, 2021
Last Updated: Aug 2, 2021

Practice Location

Address: 910 W MYERS BLVD
City: Mascotte
State: Florida
ZIP Code: 34753-9748
Phone: (352) 557-8700

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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