Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY DALE CLARK, CCP
Active Sole ProprietorTIMOTHY DALE CLARK, CCP is a Durable Medical Equipment & Medical Supplies healthcare provider located in GAINESVILLE, Florida. NPI 1831226604 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · GAINESVILLE, FL
Registration Details
- NPI Number
- 1831226604
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.418914362318 yrs)
- Last Updated
- Jul 9, 2007
- License
-
1312783 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 SW ARCHER RDSUITE NG-28GAINESVILLE, FL, 326103003Browse FL providers · Browse ZIP 32610
- Phone
- 3526651209
- Fax
- 3523323761
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Other Durable Medical Equipment & Medical Supplies Providers in GAINESVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. RANDY WILLARD SPERRING | — | 1821144155 |
| MR. ROBERT LEE FRAZIER III | — | 1871976829 |
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.