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Lisa Bardy Clark, MD
Family Medicine Physician in Destin, Florida
NPI 1598779100

Lisa Bardy Clark is a Family Medicine Physician based in Destin, FL. Lisa Bardy Clark practices in Destin, FL and has the professional credentials of MD. The NPI Number for Lisa Bardy Clark is 1598779100 and holds a License No. ME73997 (Florida).

The current practice location address for Lisa Bardy Clark is 12815 Highway 98 West, Destin, FL and can be reached out via phone at 850-269-0111 and via fax at 850-269-0114.

Location: 12815 Highway 98 West, Destin, FL, 32550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598779100
Provider Name
Lisa Bardy Clark
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12815 Highway 98 West, Destin, FL, 32550
Phone Number
850-269-0111
Fax Number
850-269-0114
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7589056 01 AETNA USHC #
43826 01 FL BCBS OF FL PROVIDER #
institution
Provider Business Practice Location Address Details
Address
12815 Highway 98 West
City
Destin
State
Florida
Zip
32550
Phone Number
850-269-0111
Fax Number
850-269-0114
person
Provider Business Mailing Address Details
Address
12815 Highway 98 West
City
Destin
State
Florida
Zip
32550
Phone Number
850-269-0111
Fax Number
850-269-0114
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME73997 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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