Individual provider · Type 1 NPI

Angela G. Clark

Developmental Disabilities Clinic/Center · Plant City, FL

NPI number 1164072492 Active

Practice location

4703 Horton Rd
Plant City, FL 33567-3625

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

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About NPI 1164072492

Angela G. Clark's National Provider Identifier is 1164072492, issued on Sep 18, 2019. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Plant City, FL. The record was last updated on Sep 18, 2019.