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Search › Florida › 101YM0800X

Samuel Clark, LMH

NPI 1265742001 · on the registry since 2010 · sole proprietor

Practice

Address
1218 Nw 6th Street
Gainesville, FL 32601
Phone
(352) 244-0628
Fax
(352) 334-3817
Organisation at this address
Cds Family & Behavioral Health Services, Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
101YA0400X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-14

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