Provider Demographics
NPI:1598243743
Name:PARTAP, CLEMENT MICHAEL JR (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:CLEMENT
Middle Name:MICHAEL
Last Name:PARTAP
Suffix:JR
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4101 NW 4TH ST STE 411
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-2836
Mailing Address - Country:US
Mailing Address - Phone:954-932-9300
Mailing Address - Fax:
Practice Address - Street 1:4101 NW 4TH ST STE 411
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2836
Practice Address - Country:US
Practice Address - Phone:954-932-9300
Practice Address - Fax:954-932-9301
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-31
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9350599163WH0500X
FLF07180936363L00000X
FLARNP9350599363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis