Organization · Type 2 NPI

Clark Family Medicine

Primary Care Clinic/Center · Miramar Beach, FL

NPI number 1194199919 Active

Practice location

12815 US Highway 98 W Ste 116
Miramar Beach, FL 32550-3245

Fax (850) 269-0114

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XME0073997 (FL)

Primary Care Clinic/Center: Definition to come...

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About NPI 1194199919

Clark Family Medicine's National Provider Identifier is 1194199919, issued on Nov 17, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Miramar Beach, FL. The record was last updated on Nov 17, 2015.