JACK CLARK

CAPE CORAL, FL
NPI1073563847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RR0500X Internal Medicine, Rheumatology
(Licence: FL  OS8284)
Enumeration Date2006-05-11
Last Update Date2021-09-29
Business Address
JACK CLARK D.O.
1528 DEL PRADO BLVD S
CAPE CORAL, FL 33990-3798
Phone number: 239-458-3338
Mailing Address
JACK CLARK D.O.
2675 WINKLER AVE FL 2
FORT MYERS, FL 33901-9342
Phone number: 877-856-3774
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