Individual
ALEXIA SYDNEY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-4100
Mailing address
3200 S UNIVERSITY, DAVIE, FL 33328-2018
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3707
TN
152W00000X
Optometrist
6007
FL
152W00000X
Optometrist
OPC6007
FL
152WP0200X
Pediatric Optometrist
3707
TN
152WP0200X
Pediatric Optometrist
Primary
OPC6007
FL
Other
Enumeration date
08/11/2021
Last updated
01/04/2024
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