Search › Florida › 101YM0800X
Connie Clark
NPI 1528489002 · on the registry since 2013
Practice
- Address
- 620 Wellhouse Dr
Jacksonville, FL 32220 - Phone
- (904) 222-1784
- Fax
- (904) 253-3001
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-30
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