Stacey Ann Clark, MD

Pediatrics Physician · Wellington, FL

Individual Active NPI

NPI number 1285606574

Practice location

1447 Medical Park Blvd
#402
Wellington, FL 33414
Phone
(561) 790-2600
Fax
(561) 790-1535

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NPI record

NPI
1285606574
Entity type
Individual (Type 1)
Enumeration date
February 2, 2006
Last updated
March 29, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X ME0070966 FL

About Dr. Clark

Stacey Ann Clark, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1447 Medical Park Blvd, #402, Wellington, FL 33414. The NPI number 1285606574 was assigned on February 2, 2006 and the record was last updated on March 29, 2011.

Dr. Clark lists a license in the registry: #ME0070966 (FL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stacey Ann Clark, MD?

The NPI number is 1285606574.

What is the phone number of Dr. Clark?

The phone number listed for the practice location is (561) 790-2600.

Where is Dr. Clark located?

1447 Medical Park Blvd, #402, Wellington, FL 33414.

What is the taxonomy code for Dr. Clark?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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