Michael Clark (NPI# 1063511921, PAC ID# 7315935095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063511921 |
| PAC ID by PECOS | 7315935095 |
| Professional Enrollment ID | I20040503000614 |
| Full Name | Michael Clark |
| Organization Legal Name | EMERGENCY PHYSICIANS OF CENTRAL FLORIDA LLP |
| Address |
1900 Don Wickham Dr Clermont FL 34711-1949 |
| Phone Number | 3523944071 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1980 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1850296567 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1900 Don Wickham Dr, Clermont, FL 34711-1949 | 3523944071 | EMERGENCY PHYSICIANS OF CENTRAL FLORIDA LLP |
| Organization Legal Name | EMERGENCY PHYSICIANS OF CENTRAL FLORIDA LLP |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Bevis Core | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1414 S Orange Ave, Mp156, Orlando, FL 32806-2134 |
| Alexa Rodriguez | Emergency Medicine | Emergency Physicians of Central Florida LLP | 555 W State Rd, Suite 434, Longwood, FL 32750-5119 |
| Brian Buning | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| John Franklin Cheesebrew Ii | Emergency Medicine | Emergency Physicians of Central Florida LLP | 10000 W Colonial Dr, Emergency Dept, Ocoee, FL 34761-3498 |
| Steven C. Corbett | Emergency Medicine | Emergency Physicians of Central Florida LLP | 555 W State Rd, Suite 434, Longwood, FL 32750-5119 |
| Whitner Stewart Davis | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| James Fortier Brown | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Jeffrey L Fitch | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Christian Zuver | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Rene S Mack | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Street Address |
1900 DON WICKHAM DR |
| City | CLERMONT |
| State | FL |
| Zip | 34711-1949 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven S Walther | Certified Registered Nurse Anesthetist (crna) | Orange Anesthesia Associates, Inc. | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Nahomy Calixte | Urology | South Lake Hospital Inc | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Brian Buning | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Jamin V Brahmbhatt | Urology | South Lake Hospital Inc | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Anna L Kurian | Anesthesiology | Orange Anesthesia Associates, Inc. | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Whitner Stewart Davis | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Dawn M Taylor | Nurse Practitioner | Orlando Health Physician Group Inc | 1900 Don Wickham Dr, Suite 110, Clermont, FL 34711-1980 |
| Andrew Karen | Obstetrics/gynecology | South Lake Hospital Inc | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Marvin C Aldabute | Certified Registered Nurse Anesthetist (crna) | Orange Anesthesia Associates, Inc. | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| James Fortier Brown | Emergency Medicine | Emergency Physicians of Central Florida LLP | 1900 Don Wickham Dr, Clermont, FL 34711-1979 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie J Fogle | Nurse Practitioner | Fabio Echavarria, Md, Pa | 1715 E Hwy 50 Bldg 3 C, Clermont, FL 34711 |
| Julie Miranda | Chiropractic | 2560 E Hwy 50, Clermont, FL 34711 | |
| Paul Harrington | Internal Medicine | Patrick G Fairchild Md Pa | 2020 Oakley Seaver Dr, Suite 1, Clermont, FL 34711-1902 |
| Kevin D Nowicki | Orthopedic Surgery | Physician Business Alliance Inc | 2020 Oakley Seaver Dr, Clermont, FL 34711-1902 |
| Patrick G Fairchild | Infectious Disease | Patrick G Fairchild Md Pa | 2020 Oakley Seaver Dr, Suite 1, Clermont, FL 34711-1902 |
| David H Lucas | Orthopedic Surgery | Physician Business Alliance Inc | 2020 Oakley Seaver Dr, Clermont, FL 34711-1902 |
| Delena A Santoro | Certified Registered Nurse Anesthetist (crna) | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Neil A Chivington | Certified Registered Nurse Anesthetist (crna) | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Michael J Guillory -smith | Anesthesiology | Florida Anesthesia and Pain Management Associates, LLC | 255 Citrus Tower Blvd, Suite 100, Clermont, FL 34711-1906 |
| Salma Hitawala | Internal Medicine | 255 Citrus Tower Blvd, Suite 205, Clermont, FL 34711-1906 | |
| Find all physicians in zip 34711 | |||
| City | CLERMONT |
| Zip Code | 34711 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | CLERMONT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Michael Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.