TRISHA CLARK PA-C NPI 1992395974

NPI Information

NPI: 1992395974
Provider Name: TRISHA CLARK, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: TENET FLORIDA PHYSICIAN SERVICES LLC

PECOS Registration: Yes

Address:
4205 W ATLANTIC AVE STE 201
DELRAY BEACH, FL
ZIP 33445
Phone: (561) 303-0013
Get Directions

Trisha Clark, PA-C is a surgical physician assistant in Delray Beach, FL with 4 years of experience. Trisha Clark, PA-C NPI is 1992395974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4205 W ATLANTIC AVE STE 201
DELRAY BEACH, FL
ZIP 33445-901
Phone: (561) 303-0013
Fax: (561) 499-3199

The NPI 1992395974 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 1/22/2021 and was last updated on 4/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant				No
2	363AS0400X	Physician Assistant	Surgical	PA9114106	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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