ROBERT CLARK MD PA
Radiology at Suncoast Blvd, Crystal River, FL

License number
Florida ME0051405
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: DR. ROBERT A CLARK MD
Title: OWNER
Phone: (727) 585-7020
Address
Address 2
6201 N Suncoast Blvd, Crystal River, FL 34428
2810 W Saint Isabel St SUITE 201, Tampa, FL 33607
National Provider ID: 1457300469
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Robert Clark, MD, PA

Crystal River, FL

Industry:
Medical Doctor's Office, Radiology
Doing business as:
Robert Clark MD
Registration:
Jun 18, 2004
Phone:
(352) 795-8325 (Phone), (352) 795-3205 (Phone)
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
Addresses:
6201 N Suncoast Blvd, Crystal River, FL 34428
2020 NW 15 St, Crystal River, FL 34428
State ID:
P04000094220
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Director:
Robert Clark (President, Treasurer, Secretary, Director)
Agent:
Keith R. Taylor
Categories:
Physicians & Surgeons

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