Organization
EXPERIENCE FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR-SHAY CLARK DC (OWNER)
(239) 205-3700
Entity
Organization
Contact information
Practice address
2378 SURFSIDE BLVD, SUITE A133, CAPE CORAL, FL 33991-3181
(239) 205-3700
Mailing address
2378 SURFSIDE BLVD, SUITE A133, CAPE CORAL, FL 33991-3181
(239) 205-3700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH11971
FL
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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