DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VIVIENNE M CLARKE, MD

Active

DR. VIVIENNE M CLARKE, MD is a Pediatrics healthcare provider located in FELLSMERE, Florida. NPI 1477791630 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · FELLSMERE, FL

Registration Details

NPI Number
1477791630
Provider Type
Individual
Gender
Female
NPI Issued
Jan 27, 2009 (17.359844771778 yrs)
Last Updated
Feb 21, 2017
Licenses
ME112465 (FL)
MT-193978 (PA)

Practice Information

Address
12196 COUNTY ROAD 512
FELLSMERE, FL, 329485463
Browse FL providers · Browse ZIP 32948
Phone
7722578224
Fax
7722133157
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics

Other Pediatrics Providers in FELLSMERE, FL

Name Credential NPI
MAI TRAN MD 1013121722
DR. LISA CYNTHIA HAGE M.D. 1891049284
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.