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1609022086
FRED ELTON CLARK
SAINT PETERSBURG, FL
NPI
1609022086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME102187)
Enumeration Date
2008-08-18
Last Update Date
2017-04-18
Business Address
Mr. FRED ELTON CLARK M.D.
4401 4TH ST N
SAINT PETERSBURG, FL 33703-4728
Phone number: 727-525-4401
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Mailing Address
Mr. FRED ELTON CLARK M.D.
4401 4TH ST N
SAINT PETERSBURG, FL 33703-4728
Phone number: 727-525-4401
Copy
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