Individual
CLIFFORD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3015 S CONGRESS AVE STE 9, PALM SPRINGS, FL 33461-2111
(561) 967-4355
(561) 967-4466
Mailing address
3015 S CONGRESS AVE STE 9, PALM SPRINGS, FL 33461-2111
(561) 967-4355
(561) 967-4466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC836
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC836
LICENCES NUMBER
FL
Enumeration date
04/21/2016
Last updated
04/21/2016
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