Individual
CAROL D. CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BC
Contact information
Practice address
13880 SHELL POINT PLAZA, SUITE 110, FORT MYERS, FL 33908-3504
(239) 466-1111
(239) 454-2111
Mailing address
13880 SHELL POINT PLAZA, SUITE 110, FORT MYERS, FL 33908-3504
(239) 454-2146
(239) 454-2111
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP9191162
FL
Other
Enumeration date
11/15/2006
Last updated
02/14/2022
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