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Jack Clark, D.O
NPI 1073563847 · on the registry since 2006
Practice
- Address
- 1528 Del Prado Blvd S
Cape Coral, FL 33990 - Phone
- (239) 458-3338
- Fax
- (239) 458-0666
- Organisation at this address
- Ima Pharmacy Cape Coral
Millennium Physician Group Llc
Radiology Associates Of Tampa PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Rheumatology Physician
207RR0500X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida