Clark, Tiara

Clark, Tiara is an individual health care provider with primary practice located at 120 Medical Blvd Ste 102 , Spring Hill FL 34609-0221. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Clark, Tiara can be contacted via phone (352) 686-0086.

Contact Information

Primary practice address
120 Medical Blvd Ste 102 Spring Hill FL 34609-0221
Phone: (352) 686-0086
Fax: (352) 684-2081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN9383859 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11024208 Florida

Profile Details

NPI number 1346941879
LBN Legal business name Clark, Tiara
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2023
Last updated Mar 24th, 2023 - about last year

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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