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NPI Code Detail

MEDICARE: CLIFTON CONFIDENT M.D.

MEDICARE: CLIFTON CONFIDENT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME109710FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699976332
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLIFTON CONFIDENT M.D.
Provider Business Mailing Address
First Line : PO BOX 6210
Second Line :
City : FARMINGTON
State : NM
Zip : 87499-6210
Country : US
Telephone Number : 505-609-2258
Fax Number : 505-609-2259
Provider Business Practice Location Address
First Line : 7550 43RD ST N
Second Line :
City : PINELLAS PARK
State : FL
Zip : 33781-3601
Country : US
Telephone Number : 727-824-8181
Fax Number : 727-541-7984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 10/21/2016

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Directions to “ CLIFTON CONFIDENT M.D.” Practice Location

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