DR. MICHAEL LEE CLARK


Address: 3430 Tamiami Trl Ste B, Port Charlotte, FL 33952-8148
Phone: 8556744624

DR. MICHAEL LEE CLARK (NPI# 1457662280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457662280
Entity Type Individual
Full Name DR. MICHAEL LEE CLARK
Credential D.O.
Practice Address 3430 Tamiami Trl Ste B
Port Charlotte
FL 33952-8148
Mailing Address 2000 Ogden Ave
Aurora
IL 60504-7222
Practice Telephone 8556744624
Mailing Telephone 6308984515
Mailing Fax Number 6309786805
Enumeration Date 2010-06-26
Last Update Date 2019-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
036132955 IL Allopathic & Osteopathic Physicians

Other Providers MICHAEL CLARK

NPI Name Taxonomy Address Enumeration
1215534227 Michael Clark Contractor 1107 Lavender Shade Court, Houston, TX 77073 2020-10-02
1558858464 Michael Clark Optometrist 990 Medical Dr Ste G3, Brigham City, UT 84302 2018-04-16
1740780006 Michael Ryan Clark Pharmacist 556 Northside Drive, Statesboro, GA 30458 2018-02-13
1942715255 Michael Clark Physical Medicine & Rehabilitation 10600 Riverside Drive, Coral Springs, FL 33071-3307 2017-12-08
1386170348 Michael Clark Registered Nurse 317 E 100 N, Price, UT 84501-2504 2017-05-11
1184163982 Michael Clark Specialist/Technologist 19 Second Ave, Auburn, NY 13021-5113 2017-02-14
1356780837 Michael Clark Adult Companion 8305 Concord Dr, Rowlett, TX 75089-2001 2013-06-18
1417394503 Michael Ray Clark Pharmacist 2661 Valleydale Rd, Hoover, AL 35244-2026 2013-05-29
1407143381 Michael Jeffery Clark Orthopaedic Surgery 5671 Peachtree Dunwoody Ste 700, Atlanta, GA 30342-5047 2011-06-29
1700183993 Michael Brady Clark Preventive Medicine 1400 Mckean Rd, Spring House, PA 19477 2011-02-24

Office Location

Street Address 3430 TAMIAMI TRL STE B
City PORT CHARLOTTE
State FL
Zip Code 33952-8148

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700486552 Arrow Medical LLC Durable Medical Equipment & Medical Supplies 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 2020-10-30
1376009621 David Alan Mowry Massage Therapist 3148 Whiting Lane, Port Charlotte, FL 33952 2019-02-12
1124527189 Aegis Group Practice, LLC Physical Therapist 2500 Aaron Street, Port Charlotte, FL 33952 2018-02-06
1255856118 All Powered Mobility, LLC Durable Medical Equipment & Medical Supplies 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 2017-08-11
1366994915 Julianne Kumar Physical Medicine & Rehabilitation 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 2016-10-31
1659729549 The Gathering Place LLC Licensed Practical Nurse 3459 Depew Ave, Port Charlotte, FL 33952 2016-06-01
1003222183 Philip Lagamma Physical Therapist 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 2014-07-09
1184039695 Nathan E Shipley Driver 2338 Alton Rd., Port Charlotte, FL 33952 2014-06-23
1619318219 Nic 4 Royal Palm Leasing LLC Assisted Living Facility 2500 Aaron St., Port Charlotte, FL 33952 2013-07-11
1225306475 Tamjo Inc Hearing Instrument Specialist 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 2011-12-02
Find all providers in zip 33952

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225361850 Advanced Imaging of Port Charlotte Radiology 2625 Tamiami Trail, Unit 1, Port Charlotte, FL 33952 2009-09-15
1619994456 Michael C Heagney Radiology 4550 Grassy Point Blvd, Port Charlotte, FL 33952-9179 2006-07-17
1851331623 Molecular Imaging of Charlotte County, LLC Radiology 4130 Tamiami Trl, Suite 101, Port Charlotte, FL 33952-9207 2006-06-08
1114973542 Margo H Roca Radiology 18451 Meyer Ave, Port Charlotte, FL 33948-8931 2006-05-26
1720068497 Fawcett Medical Imaging Pa Radiology 21298 Olean Blvd, Port Charlotte, FL 33952-6705 2006-01-19
1548248503 Stanley J Litvak Radiology 3430c Tamiami Trl, Port Charlotte, FL 33952-8127 2006-01-09
1831175561 James Edward White Radiology 3430 Tamiami Trl, Suite B, Port Charlotte, FL 33952-8127 2005-12-15
1568453892 Seaside Radiology Consultants Pa Radiology 3430 Tamiami Trail, Unit B, Port Charlotte, FL 33952 2005-11-04
1659365021 Advanced Imaging of Port Charlotte LLC Radiology 2625 Tamiami Trl, Unit 1, Port Charlotte, FL 33952-6478 2005-08-31
1164888954 American Imaging of Southwest Florida,inc Radiology 23081 Harborview Rd, Port Charlotte, FL 33980-2153 2016-01-08
Find all providers in PORT CHARLOTTE

Competitor

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City PORT CHARLOTTE
Zip Code 33952

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Dataset Information

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.

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