Individual
ERICA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7991 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5005
(352) 382-8282
Mailing address
7991 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5005
(352) 382-8282
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
9343252
FL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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