SearchFlorida367500000X

John Clark, CRNA

NPI 1821094046 · on the registry since 2005 · sole proprietor

Practice

Address
5049 Avocet Ln
Pensacola, FL 32514
Phone
(850) 494-7079

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
367500000X
367500000X
367500000X
367500000X
Licence states on file
FL, CT, AL, TX, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-11-24

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