Search › Florida › 174400000X
Virginia Clark
NPI 1538580634 · on the registry since 2013 · sole proprietor
Practice
- Address
- 4806 Mile Stretch Dr
Holiday, FL 34690 - Phone
- (727) 943-7162
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-12-17
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