# CLARKES HAIR DESIGN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427564020
- **Authorized official:** JANICE MOORE (OWNER)
- **Authorized official phone:** (863) 212-6008

## Contact information

- **Practice address:** 2434 US HIGHWAY 92 E, LAKELAND, FL 33801-2650
- **Practice address phone:** (863) 212-6008
- **Mailing address:** 4086 SUNDANCE PLACE LOOP, MULBERRY, FL 33860-0150
- **Mailing address phone:** (863) 212-6008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | — | NULL | Yes |
| 1744P3200X | Prosthetics Case Management | — | — | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | CLO210755 | FL | — |

## Other

- **Enumeration date:** 12/18/2017
- **Last updated:** 03/14/2018