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

MICHAEL CLARK

Active

MICHAEL CLARK is a Sports Medicine (PM&R) healthcare provider located in CORAL SPRINGS, Florida. NPI 1942715255 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · CORAL SPRINGS, FL

Registration Details

NPI Number
1942715255
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2017 (8.7239240274171 yrs)
Last Updated
Dec 8, 2017
License
1624 (FL)

Practice Information

Address
10600 RIVERSIDE DRIVE
CORAL SPRINGS, FL, 330713307
Browse FL providers · Browse ZIP 33071
Phone
9548125661
Fax
9548125661
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
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.