Lowell F Clark MD PA
Lowell F Clark MD PA is a Clinic/Center in San Antonio, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12620 Curley StSan Antonio, FL 33576-8136
Phone: (352) 787-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1093469983 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lowell Clark — Medical Director · (352) 793-2441 |
| NPI enumerated | February 9, 2022 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
| Mailing address | 212 S Fla St, Bushnell, FL 33513-6703 |