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Alisha Victoria Clark
Independent Duty Medical Technicians in Tallahassee, Florida
NPI 1205502655

Alisha Victoria Clark is a Independent Duty Medical Technicians based in Tallahassee, FL and is specialized in Independent Duty Medical Technicians. Alisha Victoria Clark practices in Tallahassee, FL. The NPI Number for Alisha Victoria Clark is 1205502655 and holds a License No. E2027750 (Florida).

The current practice location address for Alisha Victoria Clark is 2507 Old Saint Augustine Rd, Tallahassee, FL and can be reached out via phone at 866-466-2475. You can also correspond with Alisha Victoria Clark through the mailing address at 2507 OLD SAINT AUGUSTINE RD, TALLAHASSEE, FL - 32301-6209 (mailing address contact number: 866-466-2475).

Location: 2507 Old Saint Augustine Rd, Tallahassee, FL, 32301-6209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205502655
Provider Name
Alisha Victoria Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
2507 Old Saint Augustine Rd, Tallahassee, FL, 32301-6209
Phone Number
866-466-2475
Fax Number
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2507 Old Saint Augustine Rd
City
Tallahassee
State
Florida
Zip
32301-6209
Phone Number
866-466-2475
Fax Number
person
Provider Business Mailing Address Details
Address
2507 Old Saint Augustine Rd
City
Tallahassee
State
Florida
Zip
32301-6209
Phone Number
866-466-2475
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Medical Technicians
Taxonomy
1710I1003X
License No.
E2027750 (Texas)
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
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