Organization · Type 2 NPI
Lowell F. Clark MD PA
Clinic/Center · Sorrento, FL
NPI number
1144853078
Active
Practice location
31450 Church St
Sorrento, FL 32776-9594
Mailing address
212 S Florida St
Bushnell, FL 33513-6703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
Other clinic/center providers in Sorrento
About NPI 1144853078
Lowell F. Clark MD PA's National Provider Identifier is 1144853078, issued on Feb 19, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Sorrento, FL. The record was last updated on Feb 24, 2020.