1114911328 Gary L Clark, PA C
Medical Physician Assistant
Active
Basic Information
- Full Name
- Gary L Clark, PA C
- Gender
- Male
- Enumeration Date
- September 1, 2005
- Last Update
- September 22, 2014
Practice Location
- Address
- 605 LAMAR AVE
BROOKSVILLE, FL 346013211 - Phone
- (352) 799-5411
- Fax
- (352) 544-2713
Mailing Address
- Address
- 605 LAMAR AVE
BROOKSVILLE, FL 346013211 - Phone
- (352) 799-5411
- Fax
- (352) 544-2713
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Medical Physician Assistant Medical | 363AM0700X | Physician Assistant | PA2265 | FL | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900013195 | 01 | FL | RAILROAD MEDICARE |
| 970029323 | 01 | FL | RAILROAD MEDICARE |
| Y00ZL | 01 | FL | BC/BS FL |
| 290338500 | 05 | FL | N/A |
| 970028329 | 01 | FL | RAILROAD MEDICARE |
Frequently Asked Questions
What is Gary L Clark, PA C's NPI number?
Gary L Clark, PA C's NPI number is 1114911328.
Which doctor has NPI number 1114911328?
The doctor with NPI number 1114911328 is Gary L Clark, PA C.
What is Gary L Clark, PA C's practice address?
Gary L Clark, PA C's practice address is 605 LAMAR AVE, BROOKSVILLE, FL, 346013211.
Which doctor practices at 605 LAMAR AVE, BROOKSVILLE, FL, 346013211?
Gary L Clark, PA C practices at 605 LAMAR AVE, BROOKSVILLE, FL, 346013211.
What is Gary L Clark, PA C's phone number?
Gary L Clark, PA C's phone number is (352) 799-5411.
Who is (352) 799-5411?
(352) 799-5411 is the phone number for Gary L Clark, PA C.
What is Gary L Clark, PA C's specialty?
Gary L Clark, PA C's specialty is Medical Physician Assistant.
What type of doctor is Gary L Clark, PA C?
Gary L Clark, PA C is a Medical Physician Assistant.
Is Gary L Clark, PA C a Medical?
Yes, Gary L Clark, PA C is a Medical.
Is Gary L Clark, PA C still practicing?
Yes, Gary L Clark, PA C is currently practicing.
Is Gary L Clark, PA C accepting new patients?
Gary L Clark, PA C may be accepting new patients. Please call their office at (352) 799-5411 to inquire about availability.
Is NPI 1114911328 still active?
Yes, NPI 1114911328 is currently active.
Where does Gary L Clark, PA C practice?
Gary L Clark, PA C practices in BROOKSVILLE, FL.
Is Gary L Clark, PA C a male or female doctor?
Gary L Clark, PA C is a male doctor.