Clark, Gina Maria

Clark, Gina Maria is an sole proprietor health care provider with primary practice located at 8212 Forest Oaks Blvd , Spring Hill FL 34606-6839. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Clark, Gina Maria can be contacted via phone (352) 584-6755.

Contact Information

Primary practice address
8212 Forest Oaks Blvd Spring Hill FL 34606-6839
Phone: (352) 584-6755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-32892 Florida

Profile Details

NPI number 1265985956
LBN Legal business name Clark, Gina Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2016
Last updated May 9th, 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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