Individual
KARA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-1000
Mailing address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9621
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W536-501-93-719-0
DRIVER'S LICENSE
FL
Enumeration date
12/06/2022
Last updated
07/28/2025
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