Individual
DANA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP,DOM
Contact information
Practice address
13035 W LINEBAUGH AVE, TAMPA, FL 33626-4481
(321) 626-7082
Mailing address
1529 FOREST GLEN CT, PALM HARBOR, FL 34683-0017
(321) 626-7082
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP1881
FL
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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