Clark, Gregory

Clark, Gregory is an individual health care provider with primary practice located at 1091 Old South Dr , Lakeland FL 33811. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Clark, Gregory can be contacted via phone (813) 846-1181.

Contact Information

Primary practice address
1091 Old South Dr Lakeland FL 33811
Phone: (813) 846-1181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1760991012
LBN Legal business name Clark, Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2017
Last updated Jul 21st, 2022 - about 3 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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