Healthcare Provider Details

I. General information

NPI: 1548336886
Provider Name (Legal Business Name): MARK ARLEN CLAYMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2206 NW 4TH PL
GAINESVILLE FL
32603-1407
US

IV. Provider business mailing address

2206 NW 4TH PL
GAINESVILLE FL
32603-1407
US

V. Phone/Fax

Practice location:
  • Phone: 352-335-6662
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME92516
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: