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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT CLARK, LPN

Active Sole Proprietor

ROBERT CLARK, LPN is a Licensed Practical Nurse healthcare provider located in BROOKSVILLE, Florida. NPI 1396963666 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BROOKSVILLE, FL

Registration Details

NPI Number
1396963666
Provider Type
Individual
Gender
Male
NPI Issued
Apr 23, 2007 (19.309284940397 yrs)
Last Updated
Jul 8, 2007
License
PN1295281 (FL)
Sole Proprietor
Yes

Practice Information

Address
26347 LAKE LINDSEY RD
BROOKSVILLE, FL, 346014304
Browse FL providers · Browse ZIP 34601
Phone
3526503825
Fax
3527995200
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in BROOKSVILLE, FL

Name Credential NPI
DOMINIQUE JONES LPN 1518404995
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.