Gregory Clark
Driver · Lakeland, FL
NPI number
1760991012
Practice location
1091 Old South DrLakeland, FL 33811
- Phone
- (813) 846-1181
NPI record
- NPI
- 1760991012
- Entity type
- Individual (Type 1)
- Enumeration date
- September 28, 2017
- Last updated
- July 21, 2022
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Driver Primary | 172A00000X |
— | — |
Mailing address
1091 Old South DrLakeland, FL 33811-2333
- Phone
- (813) 846-1181
About Gregory Clark
Gregory Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 1091 Old South Dr, Lakeland, FL 33811. The NPI number 1760991012 was assigned on September 28, 2017 and the record was last updated on July 21, 2022.
Frequently asked questions
What is the NPI number of Gregory Clark?
The NPI number is 1760991012.
What is the phone number of Gregory Clark?
The phone number listed for the practice location is (813) 846-1181.
Where is Gregory Clark located?
1091 Old South Dr, Lakeland, FL 33811.
What is the taxonomy code for Gregory Clark?
The primary taxonomy code is 172A00000X – Driver.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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