Carolyn Clark (NPI# 1316933567, PAC ID# 0446395446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316933567 |
| PAC ID by PECOS | 0446395446 |
| Professional Enrollment ID | I20100302000460 |
| Full Name | Carolyn Clark |
| Organization Legal Name | HEART AND VASCULAR CENTER OF SARASOTA INC |
| Address |
1217 S E Ave Suite 104 Sarasota FL 34239-2350 |
| Phone Number | 9413650433 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0345284360 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1217 S E Ave, Suite 104, Sarasota, FL 34239-2350 | 9413650433 | HEART AND VASCULAR CENTER OF SARASOTA INC |
| Organization Legal Name | HEART AND VASCULAR CENTER OF SARASOTA INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Healy | Nurse Practitioner | Heart and Vascular Center of Sarasota Inc | 1217 S E Ave, Suite 104, Sarasota, FL 34239-2350 |
| Clayton E Bredlau | Cardiovascular Disease (cardiology) | Heart and Vascular Center of Sarasota Inc | 1217 S E Ave, Suite 104, Sarasota, FL 34239-2350 |
| Lora Andrews | Nurse Practitioner | Heart and Vascular Center of Sarasota Inc | 1217 S E Ave, Suite 104, Sarasota, FL 34239-2350 |
| Street Address |
1217 S E AVE SUITE 104 |
| City | SARASOTA |
| State | FL |
| Zip | 34239-2350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Healy | Nurse Practitioner | Heart and Vascular Center of Sarasota Inc | 1217 S E Ave, Suite 104, Sarasota, FL 34239-2350 |
| Penny L Heinrich | Hematology/oncology | Intercoastal Medical Group Inc | 1217 S E Ave, Suite 201, Sarasota, FL 34239-2329 |
| Clayton E Bredlau | Cardiovascular Disease (cardiology) | Heart and Vascular Center of Sarasota Inc | 1217 S E Ave, Suite 104, Sarasota, FL 34239-2350 |
| Richard L Vanbuskirk | Osteopathic Manipulative Medicine | 1217 S E Ave, Suite 310, Sarasota, FL 34239-2352 | |
| Craig L Barcomb | Chiropractic | 1217 S E Ave, Suite 304, Sarasota, FL 34239-2352 | |
| Lora Andrews | Nurse Practitioner | Heart and Vascular Center of Sarasota Inc | 1217 S E Ave, Suite 104, Sarasota, FL 34239-2350 |
| Gina Marie Tillman | Clinical Social Worker | 1217 S E Ave, Suite 209, Sarasota, FL 34239-2329 | |
| Donna Mathisen | Physical Therapy | 1217 S E Ave, Suite 304, Sarasota, FL 34239-2352 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Schwartz | Ophthalmology | 1219 S E Ave, Suite 105, Sarasota, FL 34239 | |
| Ryan Taylor Johnson | Chiropractic | 1775 Arlington St, Suite 2, Sarasota, FL 34239-2143 | |
| James L. Slocum | Psychiatry | 1775 Arlington St, Suite 3, Sarasota, FL 34239-2143 | |
| Mark A Checcone | Otolaryngology | 1958 Prospect St, Sarasota, FL 34239-2217 | |
| Matthew Edlund | Psychiatry | 1241 S Tamiami Trl, Sarasota, FL 34239-2219 | |
| Annette L Polit | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Cheryl A Mcfarlin | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Daniel L Swanson | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Elmer T Arne Jr. | Cardiovascular Disease (cardiology) | 1250 S Tamiami Trl, Suite 401, Sarasota, FL 34239-2221 | |
| William F Bennett | Orthopedic Surgery | 1250 S Tamiami Trl, Suite 303, Sarasota, FL 34239-2221 | |
| Find all physicians in zip 34239 | |||
| City | SARASOTA |
| Zip Code | 34239 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SARASOTA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Carolyn Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.