Clark Stream, PA-C

NPI 1578509386 · on the registry since 2006

Practice

Address: 120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407
Phone: (850) 532-6168
Fax: (850) 532-6568
Organisation at this address: Sacred Heart Medical Group
Sacred Heart Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363AM0700X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-03

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