CLARK CLINIC INC (NPI# 1225661481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225661481 |
| Entity Type | Organization |
| Organization Name | CLARK CLINIC INC |
| Practice Address |
31450 Church St Sorrento FL 32776-9594 |
| Mailing Address |
212 S Florida St Bushnell FL 33513-6703 |
| Practice Telephone | 3527354044 |
| Mailing Telephone | 3527932441 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | LOWELL F. CLARK (OWNER) |
| Authorized Official Telephone | 3527932441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540947 | Clark Clinic Inc | Clinic/Center | 12620 Curley St, San Antonio, FL 33576-8136 | 2020-02-19 |
| 1639693492 | Clark Clinic Inc | Clinic/Center | 910 W Myers Blvd, Mascotte, FL 34753-9748 | 2017-08-02 |
| 1467642942 | Clark Clinic Inc | Clinic/Center | 107 W Central Ave, Howey In The Hills, FL 34737-4302 | 2007-07-31 |
| 1992338156 | Clark Clinic Inc | Clinic/Center | 110 Lodge Terrace Dr, Altoona, FL 32702-9668 | 2020-02-17 |
| 1376733857 | Clark Clinic Inc | Clinic/Center | 212 S Florida St, Bushnell, FL 33513-6703 | 2007-07-31 |
| Street Address |
31450 CHURCH ST |
| City | SORRENTO |
| State | FL |
| Zip Code | 32776-9594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013944933 | George Raymond Ikeler | Family Medicine | 31450 Church St, Sorrento, FL 32776-9594 | 2006-06-27 |
| 1144853078 | Lowell F. Clark Md Pa | Clinic/Center | 31450 Church St, Sorrento, FL 32776-9594 | 2020-02-19 |
| 1508097759 | George R Ikeler, M.d P.a. | Clinic/Center | 31450 Church St, Sorrento, FL 32776-9594 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831576743 | R & A Gupta LLC | Assisted Living Facility | 25444 State Road 46, Suite #3, Sorrento, FL 32776 | 2015-04-29 |
| 1952703852 | Crystal Cipriani | Massage Therapist | 32310 Oak Bluff Drive, Sorrento, FL 32776 | 2014-09-23 |
| 1063641926 | Silvia Perez | Specialist | 32636 County Road 437, Sorrento, FL 32776-1213 | 2009-07-13 |
| 1780947358 | Robert Brian Sindler | Veterinarian | 6644 Swain Rd, Sorrento, FL 32776-6700 | 2012-06-19 |
| 1184047375 | Michelle Ferrantino | Occupational Therapy Assistant | 34113 Cordoba Ln, Sorrento, FL 32776-6901 | 2014-01-24 |
| 1174915334 | Childs Hope Nursing Service and Homecard | Skilled Nursing Facility | 34315 Alicante Ct, Sorrento, FL 32776-6913 | 2015-02-25 |
| 1053510024 | Felecia Michelle Freeman | Registered Nurse | 33820 Terragona Dr, Sorrento, FL 32776-6917 | 2007-07-11 |
| 1366614596 | Gary Eugene Perigo | Specialist | 34001 Terragona Dr, Sorrento, FL 32776-6926 | 2008-03-27 |
| 1841606159 | Kettelie Najac | Counselor | 23515 Valderama Ln, Sorrento, FL 32776-6937 | 2014-07-08 |
| 1801385505 | Marianne's Legacy Home, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23515 Valderama Ln, Sorrento, FL 32776-6937 | 2018-05-08 |
| Find all providers in zip 32776 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144853078 | Lowell F. Clark Md Pa | Clinic/Center | 31450 Church St, Sorrento, FL 32776-9594 | 2020-02-19 |
| 1508097759 | George R Ikeler, M.d P.a. | Clinic/Center | 31450 Church St, Sorrento, FL 32776-9594 | 2009-08-06 |
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| 1679173926 | Haven Medical Center, Inc. | Clinic/Center | 11961 N Florida Ave, Tampa, FL 33612-5213 | 2020-10-27 |
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| 1194324046 | Fine Therapy and Rehab Center Corp | Clinic/Center | 10300 Sw 72nd St Ste 123, Miami, FL 33173-3001 | 2020-10-21 |
| 1659979243 | B&b Medical Center Inc | Clinic/Center | 219 Ne 8th Ave, Hialeah, FL 33010-5116 | 2020-10-15 |
| 1386242055 | A & P Therapy Services, LLC | Clinic/Center | 2061 Sw 150th Ave, Miami, FL 33185-5689 | 2020-10-14 |
| 1467059741 | Aaa Physicians Group | Clinic/Center | 109 Terra Mango Loop Ste B, Orlando, FL 32835-8511 | 2020-10-08 |
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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.