Individual
SAMANTHA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
5956 TURKEY LAKE RD, ORLANDO, FL 32819-4218
(407) 830-0414
Mailing address
5956 TURKEY LAKE RD, ORLANDO, FL 32819-4218
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11001826
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11001826
FL
Other
Enumeration date
07/25/2017
Last updated
02/21/2023
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