Jack Clark is a Cape Coral, Florida based male rheumatologist with 32 years of experience in Rheumatology. He completed his graduation from University Of North Texas Hsc, College Of Osteopathic Med in 1992. He is also affiliated with hospitals like Lee Memorial Hospital and Cape Coral Hospital. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jack Clark for Rheumatology is OS8284 in Florida. Jack Clark treat joint disease similar to orthopedists but do not perform surgeries. He diagnose and treat diseases of joints, muscle, bones and tendons which includes arthritis, back pain, muscle strains, common athletic injuries and 'collagen' diseases.
Complete Profile:
Jack Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Rheumatology
Credentials:
D.O.
Experience:
32+ years
Medical School Attended:
University Of North Texas Hsc, College Of Osteopathic Med
Graduation Year:
1992
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1528 Del Prado Blvd S, Cape Coral, Florida, 33990-3798
Phone:
239-458-3338
Fax:
239-458-0666
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.
PAC ID:
8729163290
Enrollment ID:
I20100405000101
NPI Number:
1073563847
NPI Enumeration Date:
11 May, 2006
NPI Last Update On:
29 Sep, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Clark are as mentioned below.
License Number
Specialization
State
Status
OS8284
Rheumatologist
Florida
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Lee Memorial Hospital (100012)
Fort myers, FL
Acute Care Hospital
Cape Coral Hospital (100244)
Cape coral, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jack Clark is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Millennium Physician Group Llc (9830244433)
770
Other Medical Identifiers:
Other legacy medical identifiers associated with Jack Clark such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
272380800
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2675 Winkler Ave Fl 2, Fort Myers, Florida
Zip:
33901-9342
Phone Number:
877-856-3774
Fax Number:
239-599-2612
Patients can reach Jack Clark at 1528 Del Prado Blvd S, Cape Coral, Florida or can call to book an appointment on 239-458-3338. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.