Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. VIRGINIA J CLARK
Active Sole ProprietorMRS. VIRGINIA J CLARK is a Specialist healthcare provider located in HOLIDAY, Florida. NPI 1538580634 is currently active in the NPPES registry. Verify at CMS.
Specialist · HOLIDAY, FL
Registration Details
- NPI Number
- 1538580634
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2013 (12.469727365625 yrs)
- Last Updated
- Dec 17, 2013
- License
-
MA17009 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4806 MILE STRETCH DRHOLIDAY, FL, 346904358Browse FL providers · Browse ZIP 34690
- Phone
- 7279437162
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in HOLIDAY, FL
| Name | Credential | NPI |
|---|---|---|
| DERRICK ALAN SOVEL | — | 1063435378 |
| DIANA PATRICIA MCGRATH | PT | 1003910134 |
| DIANA MORRIS | LMT | 1033325527 |
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.