MR. Bryan Michael Clark, MEDICAL STUDENT is a student in an organized health care education training program in St Petersburg, FL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Bryan Michael Clark, MEDICAL STUDENT NPI is 1447990452. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6500 38TH AVE N
ST PETERSBURG, FL
ZIP 33710-629
Phone: (727) 341-4819
Fax: (727) 341-4886
The NPI 1447990452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/29/2022 and was last updated on 3/29/2022.