Jessica A Clark (NPI# 1568722528, PAC ID# 2163688714) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1568722528 |
| PAC ID by PECOS | 2163688714 |
| Professional Enrollment ID | I20170123001293 |
| Full Name | Jessica A Clark |
| Organization Legal Name | FLORIDA WOMAN CARE LLC |
| Address |
10115 Forest Hill Blvd Suite 300 Wellington FL 33414-3102 |
| Phone Number | 5613286165 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 5395807218 |
| Number of Group Practice Members | 407 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100287 | GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3102 | 5613286165 | FLORIDA WOMAN CARE LLC |
| Organization Legal Name | FLORIDA WOMAN CARE LLC |
| Physicians | 452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidi Zielinski | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 1265 Viscaya Pkwy, Cape Coral, FL 33990-3237 |
| Kimberly Ann Morphet | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 3217 Capital Medical Blvd, Tallahassee, FL 32308-4413 |
| Casi Dawn Norman | Nurse Practitioner | Florida Woman Care LLC | 724 Nw 43rd St, Gainesville, FL 32607-6110 |
| Brooke E Cox | Certified Nurse Midwife (cnm) | Florida Woman Care LLC | 2595 Tampa Rd G, Palm Harbor, FL 34684-3130 |
| Rosana Salama Bello | Obstetrics/gynecology | Florida Woman Care LLC | 1000 37th Pl, Suite 105, Vero Beach, FL 32960-6579 |
| Allison M Amore | Obstetrics/gynecology | Florida Woman Care LLC | 531 N Maitland Ave, Maitland, FL 32751-4421 |
| Vitaly Borodin | Pathology | Florida Woman Care LLC | 5481 W Waters Ave, Suite 111, Tampa, FL 33634-1205 |
| Margarita P Olivares Castro | Obstetrics/gynecology | Florida Woman Care LLC | 13 Neptune Rd, Kissimmee, FL 34744-5272 |
| Susanne V Osborne | Obstetrics/gynecology | Florida Woman Care LLC | 1160 Cypress Glen Cir, Kissimmee, FL 34741-7560 |
| Allison C Calhoun | Obstetrics/gynecology | Florida Woman Care LLC | 525 Brent Ln, Pensacola, FL 32503-2003 |
| Street Address |
10115 FOREST HILL BLVD SUITE 300 |
| City | WELLINGTON |
| State | FL |
| Zip | 33414-3102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis D Emmer | Otolaryngology | Ear Nose and Throat Associates of South Florida Pa | 10115 Forest Hill Blvd, Suite 103, Wellington, FL 33414-6178 |
| Earl C Lysaker | Internal Medicine | Medical Specialists of The Palm Beaches Inc | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3104 |
| Neil G Goldhaber | Otolaryngology | Ear Nose and Throat Associates of South Florida Pa | 10115 Forest Hill Blvd, Suite 103, Wellington, FL 33414-6178 |
| Joseph H Etienne | Family Medicine | Travel Medicine and Infectious Diseases of The Palm Beaches LLC | 10115 Forest Hill Blvd, Suite 102, Wellington, FL 33414-6178 |
| Nathan D Watson | Internal Medicine | Medical Specialists of The Palm Beaches Inc | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3104 |
| Sarah Knowlton | Obstetrics/gynecology | Florida Woman Care LLC | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3102 |
| Taryn D Silverstein | Gastroenterology | Gastroenterology Associates of Florida LLC | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3104 |
| Todd Simon | Gastroenterology | Gastroenterology Associates of Florida LLC | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3104 |
| Aleta Lorraine Scheleur | Nurse Practitioner | Medical Specialists of The Palm Beaches Inc | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3104 |
| Lawrence S Lovitz | Interventional Cardiology | Medical Specialists of The Palm Beaches Inc | 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414-3104 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasmine Jones Green | Nurse Practitioner | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Ivan Eduardo Lizarazo | Family Medicine | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Rose Fernande Toussaint | Nurse Practitioner | Bcmd Pain Management Pllc | 10330 Nu Vista Ave, Nu Vista Living At Wellington Green, Wellington, FL 33414 |
| Nubia Porras | Family Medicine | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Yasmin Sealey | Nurse Practitioner | Bcmd Pain Management Pllc | 10330 Nu Vista Ave, Nu Vista Living At Wellington Green, Wellington, FL 33414 |
| Gregory Bernard Listoe | General Practice | West Boynton Urgent Care LLC | 129 S State Rd, Suite 401, Royal Palm Beach, FL 33414 |
| Jose G Cevallos | Internal Medicine | 1873 Fox Ct, Wellington, FL 33414-3100 | |
| Gary R Cohen | Obstetrics/gynecology | Institute for Women's Health and Body LLC | 10115 Forest Hill Blvd, Suite 302, Wellington, FL 33414-3102 |
| Andrea I Bayer | Obstetrics/gynecology | Florida Woman Care LLC | 10115 Forest Hill Blvd, Suite 300, Wellington, FL 33414-3102 |
| Faris J Fakhoury | Neurosurgery | Faris J Fakhoury Md Pa | 10115 W Forest Hill Blvd, Suite 405, Wellington, FL 33414-3103 |
| Find all physicians in zip 33414 | |||
| City | WELLINGTON |
| Zip Code | 33414 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | WELLINGTON + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jessica A 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.