Individual
KAREN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
120 INTERNATIONAL PKWY, SUITE 220, LAKE MARY, FL 32746-5031
(800) 432-8421
(407) 333-8928
Mailing address
PO BOX 952679, LAKE MARY, FL 32795-2679
(800) 432-8421
(407) 333-8928
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
28066933A
IN
305S00000X
Point of Service
Primary
RN9232718
FL
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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