JONATHAN ANDREW CLARK

ST PETERSBURG, FL
NPI1790246270
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: FL  11000850)
Enumeration Date2019-03-27
Last Update Date2019-03-27
Business Address
JONATHAN ANDREW CLARK APRN
5042 12TH AVE N
ST PETERSBURG, FL 33710-6011
Phone number: 727-631-2091
Mailing Address
JONATHAN ANDREW CLARK APRN
5042 12TH AVE N
ST PETERSBURG, FL 33710-6011
Phone number: 727-631-2091
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