Individual provider · Type 1 NPI

Diane Marie Clark, DC

Chiropractor · Port Orange, FL

NPI number 1306994637 Active

Practice location

4705 S Clyde Morris Blvd
Port Orange, FL 32129-4103

Call (386) 763-2728 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XCH5971 (FL)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1306994637

Diane Marie Clark, DC's National Provider Identifier is 1306994637, issued on Jan 5, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Orange, FL. The record was last updated on Dec 19, 2012.