Provider Demographics
NPI:1801829783
Name:CLARKE-AARON, NOELLA M (MD)
Entity Type:Individual
Prefix:DR
First Name:NOELLA
Middle Name:M
Last Name:CLARKE-AARON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1515 N FLAGLER DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3428
Mailing Address - Country:US
Mailing Address - Phone:561-642-1000
Mailing Address - Fax:561-439-4446
Practice Address - Street 1:1150 45TH ST
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2361
Practice Address - Country:US
Practice Address - Phone:561-842-7383
Practice Address - Fax:561-439-4446
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85962208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME85962OtherMEDICAL LICENSE NUMBER
FL273133900Medicaid