Cleland, Alan Stark

Cleland, Alan Stark is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd Ste 2317 Credentialing Department, Jacksonville FL 32258-7418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Cleland, Alan Stark can be contacted via phone (904) 880-9696.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd Ste 2317 Credentialing Department Jacksonville FL 32258-7418
Phone: (904) 880-9696
Fax: (904) 390-7452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME90885 Florida
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME90885 Florida

Profile Details

NPI number 1932182227
LBN Legal business name Cleland, Alan Stark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Feb 10th, 2021 - about 2 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 1932182227 NPPES
Florida Other P00669211 RAILROAD MEDICARE
Florida MEDICAID 2773198 00 RAILROAD MEDICARE

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