Search › Florida › 2086S0129X
Nicolette Clark, MD
NPI 1174104111 · on the registry since 2021 · sole proprietor
Practice
- Address
- 17 Davis Blvd Ste 308
Tampa, FL 33606 - Phone
- (813) 974-2201
- Organisation at this address
- Usf Health
Lanzisera Chiropractic Medicine Llc
University Medical Service Association Inc
University Medical Service Association IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 979
Additional practice sites
- 128 E Apple St, Dayton, OH
Registry record
- Primary taxonomy
- 2086S0129X
2086S0129X
- Also registered as
- 208600000X
- Licence states on file
- OH, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida