DR. EILIS CLARK (NPI# 1073621215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073621215 |
| Entity Type | Individual |
| Full Name | DR. EILIS CLARK |
| Credential | MD |
| Practice Address |
210 S Salisbury Ter Lecanto FL 34461-5104 |
| Practice Telephone | 3526317460 |
| Practice Fax Number | 8632102927 |
| Mailing Telephone | 3526317460 |
| Mailing Fax Number | 3526000549 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | ME80041 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME80041 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
210 S SALISBURY TER |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174185276 | Nature Coast Psychiatry Pllc | Family Medicine | 210 S Salisbury Ter, Lecanto, FL 34461-5104 | 2019-06-28 |
| 1336635309 | Eilis Clark Md, LLC | Psychiatry & Neurology | 210 S Salisbury Ter, Lecanto, FL 34461-5104 | 2018-07-02 |
| 1255827226 | Nature Coast Mind Body Medicine, LLC | Psychiatry & Neurology | 210 S Salisbury Ter, Lecanto, FL 34461-5104 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635309 | Eilis Clark Md, LLC | Psychiatry & Neurology | 210 S Salisbury Ter, Lecanto, FL 34461-5104 | 2018-07-02 |
| 1255827226 | Nature Coast Mind Body Medicine, LLC | Psychiatry & Neurology | 210 S Salisbury Ter, Lecanto, FL 34461-5104 | 2018-07-02 |
| 1538458948 | Matthew Jon Frankel | Psychiatry & Neurology | 3238 S Lecanto Hwy, Lecanto, FL 34461-9025 | 2011-04-06 |
| 1225142763 | Barbara Kirejczyk | Psychiatry & Neurology | 2804 W Marc Knighton Ct, Suite A, Lecanto, FL 34461-6300 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031447 | Jorge Wilfrido Avila | Psychiatry & Neurology | 118 Emerald Key Ln., Palm Beach Gardens, FL 33418 | 2020-10-20 |
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1871108308 | Mrs Psychiatry | Psychiatry & Neurology | 5750 Collins Ave Apt 14g, Miami Beach, FL 33140-2328 | 2020-09-11 |
| 1477166106 | Hamlet R Hassan Md Pa | Psychiatry & Neurology | 10511 N Kendall Dr Ste C201, Miami, FL 33176-1580 | 2020-08-24 |
| 1841818952 | Sunshine, Lollipops and Rainbows, LLC | Psychiatry & Neurology | 415 E Main St Ste 204, Bartow, FL 33830-4703 | 2020-07-07 |
| 1710500111 | Telehealth Physician Services, LLC | Psychiatry & Neurology | 33920 Us Highway 19 N Ste 340, Palm Harbor, FL 34684-2670 | 2020-05-20 |
| 1508488545 | Success Tms North Florida, LLC | Psychiatry & Neurology | 350 Corporate Way Ste 100, Orange Park, FL 32073-2853 | 2020-05-13 |
| 1548882970 | Thrive Recovery Inc | Psychiatry & Neurology | 5210 S University Dr Ste 105, Davie, FL 33328-5315 | 2020-05-07 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1821638909 | Sara Christina Beal | Psychiatry & Neurology | 17945 Hunting Bow Cir Ste 102, Lutz, FL 33558-5376 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.