Timothy Dale Clark, CCP
Timothy Dale Clark, CCP is a Durable Medical Equipment & Medical Supplies in Gainesville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
1600 SW Archer Rd Ste NG-28Gainesville, FL 32610-3003
Phone: (352) 665-1209
Fax: (352) 332-3761
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 1312783 (FL) |
|---|
Record details
| NPI number | 1831226604 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CCP |
| Sole proprietor | Yes |
| NPI enumerated | February 27, 2007 |
| Last updated in NPPES | July 9, 2007 |
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