Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristal Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124723192

Kristal Clark is a Student in an Organized Health Care Education/Training Program in Orlando, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5766 S Semoran Blvd
Orlando, FL 32822-4818
Phone: (802) 952-6666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1124723192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address5766 S Semoran Blvd, Orlando, FL 32822-4818

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