NPI 1821448820

Candace Clark

Practitioner Developmental Disabilities Clinic/Center Miramar, FL

Practice location

Address: 17008 SW 39th St, Miramar, FL 33027-4614
Phone: (786) 232-2902
Mailing address: 2114 N Flamingo Rd #169, Pembroke Pines, FL 33028-3501

Registered specialties

Developmental Disabilities Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD1600X

Other Clinic/Center providers in Florida →

Registry record

NPI: 1821448820
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2016
Record last updated: 21 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.