Search › Florida › 106S00000X
Dominique Clark
NPI 1609315910 · on the registry since 2017
Practice
- Address
- 11216 108th Way
Largo, FL 33778 - Phone
- (727) 744-4583
- Organisation at this address
- Great Expectations Kid'S Home
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2017-02-20
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