Individual
MS. CAROL L CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2415 HAMMOCK VIEW DR, WINTER GARDEN, FL 34787-5474
(407) 656-7865
(407) 656-7865
Mailing address
2415 HAMMOCK VIEW DR, WINTER GARDEN, FL 34787-5474
(407) 656-7865
(407) 656-7865
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5152870
FL
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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