National Provider Identifier Database

STACEY A CLARK, MD – NPI #1285606574
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

STACEY A CLARK, MD
1447 MEDICAL PARK BLVD
#402
WELLINGTON, FL33414
Phone: 561-790-2600
Fax: 561-790-1535
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for STACEY A CLARK

NPI Number 1285606574
Credentials MD
Entity Individual
Enumeration date 02/02/2006
Last updated 03/29/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME0070966
  • FL Medicaid: 47177100
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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