Clark, Cheryl A.

Clark, Cheryl A. is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Clark, Cheryl A. can be contacted via phone (407) 303-7283.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 303-7283
Fax: (407) 303-0347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME45484 Florida
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME45484 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 39002779A Indiana

Profile Details

NPI number 1750337549
LBN Legal business name Clark, Cheryl A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1750337549 NPPES
Florida Other 01035 BLUE CROSS BLUE SHIELD
Florida MEDICAID 019628100 BLUE CROSS BLUE SHIELD

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