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Individual

TONYA E CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
599 STAFFORDSHIRE DR E, JACKSONVILLE, FL 32225-3975
(786) 587-8828
Mailing address
599 STAFFORDSHIRE DR E, JACKSONVILLE, FL 32225-3975
(786) 587-8828

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C462-805--75-924-0
FL
347C00000X
Private Vehicle
C462-805-75-924-0
FL

Other

Enumeration date
04/02/2026
Last updated
04/02/2026
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