Individual
LESLIE ANN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10000 W COLONIAL DR, STE 386, OCOEE, FL 34761-3400
(407) 296-1990
(407) 296-1992
Mailing address
10000 W COLONIAL DR STE 386, OCOEE, FL 34761-3435
(407) 296-1990
(407) 296-1992
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9277706
FL
363LF0000X
Family Nurse Practitioner
ARNP 9277706
FL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP9277706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9277706
MEDICAL LICENSE
FL
05
—
N/A
—
FL
Enumeration date
12/07/2012
Last updated
11/13/2025
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