TIMOTHY G CLARK

TAMPA, FL
NPI1851492979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP2199692)
Enumeration Date2006-09-25
Last Update Date2007-12-14
Business Address
-- TIMOTHY G CLARK CRNA
12902 USF MAGNOLIA DR MDC 44
TAMPA, FL 33612-9416
Phone number: 813-745-8486
Mailing Address
-- TIMOTHY G CLARK CRNA
PO BOX 917770
ORLANDO, FL 32891-7770
Phone number:
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