Clark, Angela G

Clark, Angela G is an sole proprietor health care provider with primary practice located at 4703 Horton Rd , Plant City FL 33567-3625. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Clark, Angela G can be contacted via phone (813) 808-9023.

Contact Information

Primary practice address
4703 Horton Rd Plant City FL 33567-3625
Phone: (813) 808-9023
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X Florida

Profile Details

NPI number 1164072492
LBN Legal business name Clark, Angela G
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 18th, 2019
Last updated Sep 18th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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