Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GREGORY CLARK
ActiveGREGORY CLARK is a Driver healthcare provider located in LAKELAND, Florida. NPI 1760991012 is currently active in the NPPES registry. Verify at CMS.
Driver · LAKELAND, FL
Registration Details
- NPI Number
- 1760991012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2017 (8.6906949388436 yrs)
- Last Updated
- Jul 21, 2022
Practice Information
- Address
-
1091 OLD SOUTH DRLAKELAND, FL, 33811Browse FL providers · Browse ZIP 33811
- Phone
- 8138461181
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in LAKELAND, FL
| Name | Credential | NPI |
|---|---|---|
| MONICA SMITH | — | 1720632896 |
| AMANDA RICHARDS | — | 1023614195 |
| DEAISA ZHANE BOMORT | — | 1558035717 |
| MICHELLE DENISE SCOTT | — | 1598455594 |
| FELICIA JORDAN | — | 1184493629 |
| MR. RODNEY W STREET SR. | — | 1669238341 |
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.