Individual
MISS REBECCA UMA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, NP-C, ARNP
Contact information
Practice address
1314 OAK ST, MELBOURNE, FL 32901
(321) 727-7992
Mailing address
1314 OAK ST, MELBOURNE, FL 32901-3111
(321) 727-7992
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN9294102
FL
Other
Enumeration date
10/20/2015
Last updated
04/17/2019
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