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Dr. James Elliott Clark, MD
Specialist in Altamonte Springs, Florida
NPI 1851326219

James Elliott Clark is a Specialist based in Altamonte Springs, FL. James Elliott Clark practices in Altamonte Springs, FL and has the professional credentials of MD. The NPI Number for James Elliott Clark is 1851326219 and holds a License No. ME 35769 (Florida).

The current practice location address for James Elliott Clark is 475 Osceola St, Altamonte Springs, FL and can be reached out via phone at 407-339-9500 and via fax at 407-339-2266.

Location: 475 Osceola St, Altamonte Springs, FL, 32701-7857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851326219
Provider Name
James Elliott Clark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
475 Osceola St, Altamonte Springs, FL, 32701-7857
Phone Number
407-339-9500
Fax Number
407-339-2266
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
045664100 05 FL
2153489 01 FL AETNA PROVIDER ID#
07-00018 01 FL UHC PROVIDER ID#
47361 01 FL BC/BS PROVIDER ID#
592438966 01 FL TAX IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
475 Osceola St
City
Altamonte Springs
State
Florida
Zip
32701-7857
Phone Number
407-339-9500
Fax Number
407-339-2266
person
Provider Business Mailing Address Details
Address
475 Osceola St
City
Altamonte Springs
State
Florida
Zip
32701-7857
Phone Number
407-339-9500
Fax Number
407-339-2266
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME 35769 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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