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Desra Clark, D.O
NPI 1477816601 · on the registry since 2012
Practice
- Address
- 7227 N Us Highway 1
Cocoa, FL 32927 - Phone
- (321) 877-2740
- Fax
- (321) 877-2793
- Organisation at this address
- Brevard Health Alliance Inc
The Brevard Health Alliance IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- Adult Medicine Physician
207QA0505X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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