Individual
RITA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BILL FRANCE BLVD, DAYTONA BEACH, FL 32114-1316
(407) 314-0730
Mailing address
259 BILL FRANCE BLVD, DAYTONA BEACH, FL 32114-1316
(407) 314-0730
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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