Individual
MS. MEREDITH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
41 FAIRPOINT DR STE B, GULF BREEZE, FL 32561-4380
(850) 916-9777
Mailing address
8200 SHARKHEAD CIR, PENSACOLA, FL 32514-6731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1607
FL
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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