| Dr Vivienne M Clarke, MD | |
|
12196 County Road 512, Fellsmere, FL 32948-5463 | |
| (772) 257-8224 | |
| (772) 213-3157 |
| Full Name | Dr Vivienne M Clarke |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 12196 County Road 512, Fellsmere, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477791630 | NPI | - | NPPES |
| ME112465 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME112465 (Florida) | Primary |
| 208000000X | Pediatrics | MT-193978 (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vivienne M Clarke, MD 1545 9th St Sw, Vero Beach, FL 32962-4312 Ph: (772) 257-8224 | Dr Vivienne M Clarke, MD 12196 County Road 512, Fellsmere, FL 32948-5463 Ph: (772) 257-8224 |
Mai Tran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-257-6575 | |
Dr. Lisa Cynthia Hage, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12196 County Road 512, Fellsmere, FL 32948 Phone: 772-257-8224 Fax: 772-252-3245 |