Clark, Carol D.

Clark, Carol D. is an individual health care provider with primary practice located at 13880 Shell Point Plaza Suite 110, Fort Myers FL 33908-3504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clark, Carol D. can be contacted via phone (239) 466-1111.

Contact Information

Primary practice address
13880 Shell Point Plaza Suite 110 Fort Myers FL 33908-3504
Phone: (239) 466-1111
Fax: (239) 454-2111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9191162 Florida

Profile Details

NPI number 1457423055
LBN Legal business name Clark, Carol D.
Credentials ARNP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Feb 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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