Individual
BRITANY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6338 SW 2ND ST, MARGATE, FL 33068-1616
(954) 960-2126
(954) 960-2126
Mailing address
6338 SW 2ND ST, MARGATE, FL 33068-1616
(954) 914-3191
(954) 960-2126
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5228154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083250252
—
FL
Enumeration date
11/22/2019
Last updated
03/01/2023
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