Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DESRA KAY CLARK, D.O.
ActiveDR. DESRA KAY CLARK, D.O. is a Adolescent Medicine healthcare provider located in COCOA, Florida. NPI 1477816601 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · COCOA, FL
Registration Details
- NPI Number
- 1477816601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2012 (14.176550850511 yrs)
- Last Updated
- Jul 21, 2022
- License
-
OS12364 (FL)
Practice Information
- Address
-
7227 N US HIGHWAY 1COCOA, FL, 329275020Browse FL providers · Browse ZIP 32927
- Phone
- 3218772740
- Fax
- 3218772793
- Primary Specialty
-
Adolescent Medicine
207QA0505X
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.