Ross Nevin Clark
Otolaryngology/Facial Plastic Surgery
5210 Linton Blvd Suite 307
Delray Beach
, Florida 33484-6542
Ross Nevin Clark
Otolaryngology/Facial Plastic Surgery
5210 Linton Blvd Suite 307
Delray Beach
, Florida 33484-6542
(561) 499-4094
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Ross Nevin Clark
- 5210 Linton Blvd Suite 307
- Delray Beach, FL
- Zip : 33484-6542
- Fax : (561) 499-4094
- Phone : (561) 499-0660
Second Address
- Ross Nevin Clark
- 5210 Linton Blvd Suite 307
- Delray Beach, FL
- Zip : 33484-6542
- Fax : (561) 499-4094
- Phone : (561) 499-0660
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 16850 | FL |
National Provider Identifier
| NPI | 1821311036 |
|---|---|
| Provider Name | Ross Nevin Clark |
| First Address | Delray Beach, FL 33484-6542 |
| Second Address | Delray Beach, FL 33484-6542 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/03/2010 |
| Last Update Date | 20/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 06913V | MEDICARE (01) | 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.