Individual
TIARA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
120 MEDICAL BLVD STE 102, SPRING HILL, FL 34609-0221
(352) 686-0086
(352) 684-2081
Mailing address
5350 SPRING HILL DR, SPRING HILL, FL 34606-4562
(352) 277-5348
(352) 606-2857
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11024208
FL
363LG0600X
Gerontology Nurse Practitioner
RN9383859
FL
Other
Enumeration date
03/13/2023
Last updated
04/08/2026
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