Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANGELA G CLARK
Active Sole ProprietorANGELA G CLARK is a Developmental Disabilities Clinic healthcare provider located in PLANT CITY, Florida. NPI 1164072492 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · PLANT CITY, FL
Registration Details
- NPI Number
- 1164072492
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2019 (6.8856579162354 yrs)
- Last Updated
- Sep 18, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
4703 HORTON RDPLANT CITY, FL, 335673625Browse FL providers · Browse ZIP 33567
- Phone
- 8138089023
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in PLANT CITY, FL
| Name | Credential | NPI |
|---|---|---|
| MR. TIJAY BROADNAX | APD PROVIDER | 1235864000 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.