Stacey Ann Clark
MD | Pediatrics | Female
Stacey Ann Clark, MD is a Wellington, Florida based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Stacey Ann Clark is
1447 Medical Park Blvd, #402, Wellington, Florida - 33414. She can be contacted on phone at
561-790-2600 and fax number 561-790-1535.
Stacey Ann Clark is a sole proprietor of her business.
NPI number (Unique professional ID) for Stacey Ann Clark is
1285606574 which was assigned by NPPES on 02 Feb, 2006 and it was last updated on 29 Mar, 2011.
Stacey Ann Clark license number is
ME0070966 for Pediatrics (208000000X) in Florida.
Stacey Ann Clark is a pediatrician who 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.
Complete Profile:
Stacey Ann Clark basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Stacey Ann Clark |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Stacey Ann Clark address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1447 Medical Park Blvd, #402
Wellington, FL, 33414
United States |
|---|
| Phone Number : | 561-790-2600 |
|---|
| Fax Number : | 561-790-1535 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1285606574 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Feb, 2006 |
|---|
| Last Updated On : | 29 Mar, 2011 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Stacey Ann Clark are as mentioned. Primary taxonomy code for Stacey Ann Clark, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | ME0070966 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Stacey Ann Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 47177100 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1447 Medical Park Blvd, #402
Wellington, FL, 33414
United States |
|---|
| Phone Number : | 561-790-2600 |
|---|
| Fax Number : | 561-790-1535 |
|---|
Business Location:
Patients can refer following map for directions to
Stacey Ann Clark practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.