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

Mrs. Virginia J Clark

Individual provider Specialist · NPI 1538580634

Mrs. Virginia J Clark is a Specialist in Holiday, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2013
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Practice location Address checks out

4806 Mile Stretch Dr
Holiday, FL 34690-4358
Phone: (727) 943-7162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA17009 (FL)

Record details

NPI number1538580634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 17, 2013
Last updated in NPPESDecember 17, 2013

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