Dr. William Buren Clark
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
8331 N Davis Hwy
Pensacola
, Florida 32514
Dr. William Buren Clark
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
8331 N Davis Hwy
Pensacola
, Florida 32514
(904) 697-5102
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. William Buren Clark
- 10140 Centurion Pkwy N
- Jacksonville, FL
- Zip : 32256-0532
- Fax : (904) 697-5102
- Phone : (904) 697-4127
Second Address
- Dr. William Buren Clark
- 8331 N Davis Hwy
- Pensacola, FL
- Zip : 32514
- Fax : (850) 505-4711
- Phone : (850) 505-4700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | ME0058920 | FL |
| Y | 207YP0228X | Pediatric Otolaryngology | ME58920 | FL |
National Provider Identifier
| NPI | 1447230354 |
|---|---|
| Provider Name | Dr. William Buren Clark |
| First Address | Jacksonville, FL 32256-0532 |
| Second Address | Pensacola, FL 32514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/01/2006 |
| Last Update Date | 19/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 024627500 | (05) | FL |
| 054866900 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.