Individual
DR. CHYN-NI HU CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4340 NEWBERRY RD., SUITE301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Mailing address
4340 NEWBERRY RD., SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4597
FL
152W00000X
Optometrist
R208TA35
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003813900
—
FL
Enumeration date
02/07/2011
Last updated
11/18/2014
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