Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FRED ELTON CLARK III, M.D.
ActiveFamily Medicine · SAINT PETERSBURG, FL
Registration Details
- NPI Number
- 1609022086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2008 (17.716575946691 yrs)
- Last Updated
- Apr 18, 2017
- License
-
ME102187 (FL)
Practice Information
- Address
-
4401 4TH ST NSAINT PETERSBURG, FL, 337034728Browse FL providers · Browse ZIP 33703
- Phone
- 7275254401
- Fax
- 7275257788
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SAINT PETERSBURG, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBRA P. FIGUEROA | M.D. | 1518960905 |
| MR. JULIJE VUCEMILOVIC | MD | 1053318329 |
| DR. CARLOS A LABRADOR | MD | 1245230796 |
| DR. HOA V LE | M.D. | 1699769281 |
| DR. JOHN B DECOSMO | DO | 1396721221 |
| DR. CHRISTOPHER M. DAVEY | M.D, PA | 1962480160 |
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.