DESRA KAY CLARK

COCOA, FL
NPI1477816601
Former NameDESRA KAY KIELY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: FL  OS12364)
Enumeration Date2012-06-22
Last Update Date2022-07-21
Business Address
Dr. DESRA KAY CLARK D.O.
7227 N US HIGHWAY 1
COCOA, FL 32927-5020
Phone number: 321-877-2740
Mailing Address
Dr. DESRA KAY CLARK D.O.
PO BOX 1137
MELBOURNE, FL 32902-1137
Phone number: 321-952-9696