Individual
DWIGHT LAMONT CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 SW 27 AVENUE, SUITE 500, MIAMI, FL 33135
(305) 668-9000
(305) 662-1788
Mailing address
701 SW 27 AVENUE, SUITE 500, MIAMI, FL 33135
(305) 668-9000
(305) 662-1788
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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