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1942715255
MICHAEL CLARK
CORAL SPRINGS, FL
NPI
1942715255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: FL 1624)
Enumeration Date
2017-12-08
Last Update Date
2017-12-08
Business Address
MICHAEL CLARK
10600 RIVERSIDE DRIVE
CORAL SPRINGS, FL 33071-3307
Phone number: 954-812-5661
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Mailing Address
MICHAEL CLARK
3192 MERRICK TERRACE
MARGATE, FL 33063
Phone number: 954-812-5661
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