Clark, William Buren

Clark, William Buren is an sole proprietor health care provider with primary practice located at 8331 N Davis Hwy , Pensacola FL 32514. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Clark, William Buren can be contacted via phone (850) 505-4700.

Contact Information

Primary practice address
8331 N Davis Hwy Pensacola FL 32514
Phone: (850) 505-4700
Fax: (850) 505-4711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME0058920 Florida
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME58920 Florida

Profile Details

NPI number 1447230354
LBN Legal business name Clark, William Buren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2006
Last updated Oct 19th, 2018 - about 8 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 1447230354 NPPES
Florida MEDICAID 054866900
Florida MEDICAID 024627500

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