LESLIE COLLIS CLARKE

TAMPA, FL
NPI1194791012
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: FL  2511202)
Enumeration Date2006-02-28
Last Update Date2007-07-08
Business Address
-- LESLIE COLLIS CLARKE arnp
13000 BRUCE B DOWNS BLVD
TAMPA, FL 33612-4745
Phone number: 813-972-2000
Mailing Address
-- LESLIE COLLIS CLARKE arnp
15619 EASTBOURN DR
ODESSA, FL 33556-2851
Phone number: