Individual
MR. CLARENCE EDWARD TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2357 SE WEST BLACKWELL DRIVE, PORT ST LUCIE, FL 34952
(772) 607-2253
(772) 335-3314
Mailing address
2357 SE WEST BLACKWELL DRIVE, PORT ST LUCIE, FL 34952
(772) 607-2253
(772) 335-3314
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
692974596
—
FL
05
—
692974598
—
FL
Enumeration date
09/09/2008
Last updated
09/09/2008
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