| Organization Name: | CLARKSON & COLLINS DO PA |
| NPI Number: | 1245450006 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIANNE FISHER (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 13020 Park Blvd Seminole |
| State: | FL US |
| Postal Code: | 337763639 |
| Phone Number: | 7273933404 |
| Fax Number: | 7273941804 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |