Brittany Clark CAA
Anesthesiologist Assistant in Jacksonville, FL(View on Map)
Full Name
Brittany Clark CAA
NPI Number
1487203451
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/11/2019
Specialties
(Taxonomies)Code
367H00000X
207L00000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
Florida
License Number
AA555
28513458
Contact
Information
Purpose
Mailing
Location
Address
220 RIVERSIDE AVE UNIT 328
220 RIVERSIDE AVE UNIT 328
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32202-4953
32202-4953
Country
US
US
Telephone Number
N/A
(904) 874-1898
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/28/2019
Provider Address
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