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1255440475
SCOTT CLARK
THE VILLAGES, FL
NPI
1255440475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA3724)
Enumeration Date
2006-08-30
Last Update Date
2022-07-21
Business Address
-- SCOTT CLARK PA
1503 BUENOS AIRES BLVD STE 100
THE VILLAGES, FL 32159-6825
Phone number: 352-753-2812
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Mailing Address
-- SCOTT CLARK PA
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7172
Phone number: 407-875-2080
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