FREDERICK WESLEY CLARKSON


Address: Oakhurst Medical Clinic, 130 20 Park Blvd, Seminole, FL 33776
Phone: 7273933404

FREDERICK WESLEY CLARKSON (NPI# 1174557896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174557896
Entity Type Individual
Full Name FREDERICK WESLEY CLARKSON
Credential DO
Practice Address Oakhurst Medical Clinic
130 20 Park Blvd
Seminole
FL 33776
Practice Telephone 7273933404
Practice Fax Number 7273934814
Mailing Telephone 7273933404
Mailing Fax Number 7273934814
Enumeration Date 2006-07-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice OS0002968 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AETNA 2361160 01
AVMED 284247 01

Office Location

Street Address OAKHURST MEDICAL CLINIC
130 20 PARK BLVD
City SEMINOLE
State FL
Zip Code 33776

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003460577 Marie Gruca Behavior Technician 7777 131st Street 7, Seminole, FL 33776 2019-08-01
1023525466 Janis Dee Grooms Counselor 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 2018-01-08
1043737109 Keleigh E Devlin Behavior Technician 12505 Starkey Road, Suite G, Largo, FL 33776 2017-08-29
1821527276 Dane Andrew Kuplicki Optometrist 14194 84th Terrace North, Seminole, FL 33776 2017-06-08
1124465190 Dolphin House Assisted Living Facility Assisted Living Facility 9670 134th Street N., Seminole, FL 33776 2013-05-30
1952671489 Drin Mita Pharmacist 13705 78th Avenue North, Seminole, FL 33776 2011-12-30
1982987350 Laura D Rustin Marriage & Family Therapist 10913 70th Ave N, Seminole, FL 33776 2011-09-22
1174790083 Mary Jane Jones Occupational Therapist 13791 Montego Dr, Seminole, FL 33776 2008-05-09
1730309238 Robert P Brillon Pharmacist 14502 Alejo Court, Seminole, FL 33776 2007-04-26
1184710774 Dean A. Pedalino Pharmacist 9858 Indian Key Trail, Seminole, FL 33776 2006-10-04
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407815368 Rodney O Mccrory General Practice 2249 Boren Blvd, Seminole, OK 74868-1927 2006-03-20
1245450006 Clarkson & Collins Do Pa General Practice 13020 Park Blvd, Seminole, FL 33776-3639 2007-04-26
1033210745 Todd Frederick Clarkson General Practice 13020 Park Blvd, Seminole, FL 33776 2006-09-26
1700810421 Richard Charles Kidd General Practice 13020 Park Blvd, Oakhurst Medical Clinic, Seminole, FL 33776 2006-07-10
1710937743 Feuerborn & Mccrory LLC General Practice 2249 Boren Blvd, Seminole, OK 74868-1927 2006-05-11
1225097074 Gary G Holland General Practice 10875 Park Blvd, Ste A, Seminole, FL 33772-5456 2006-03-21
1760441612 Stephen A Feuerborn General Practice 2249 Boren Blvd, Seminole, OK 74868-1927 2006-03-20

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1376140772 Amy Wrenn General Practice 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 2020-10-08
1992302574 Avita Medical Clinic, LLC General Practice 14831 N Florida Ave, Tampa, FL 33613-1825 2020-10-06
1568069672 Ernesto Oscar Gonzalez Pupo General Practice 14420 Sw 22nd St, Miami, FL 33175-6338 2020-10-02
1508463779 Ashley Zanders Walton General Practice 75 Foxfire Ct, Quincy, FL 32351-7293 2020-10-01
1730796830 Brid M Wade General Practice 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 2020-09-23
1902412786 New Era Medical Pllc General Practice 628 Cleveland St Ste A, Clearwater, FL 33755-6603 2020-09-17
1417562414 Jl Laria Aprn Pa General Practice 5751a Sw 40th St, Miami, FL 33155-5301 2020-09-15
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Competitor

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City SEMINOLE
Zip Code 33776

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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