Clark, Meredith

Clark, Meredith is an individual health care provider with primary practice located at 41 Fairpoint Dr Ste B , Gulf Breeze FL 32561-4380. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Clark, Meredith can be contacted via phone (850) 916-9777.

Contact Information

Primary practice address
41 Fairpoint Dr Ste B Gulf Breeze FL 32561-4380
Phone: (850) 916-9777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL1607 Florida

Profile Details

NPI number 1316962715
LBN Legal business name Clark, Meredith
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 18 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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