Individual provider · Type 1 NPI

Candace Clark

Developmental Disabilities Clinic/Center · Miramar, FL

NPI number 1821448820 Active

Practice location

17008 SW 39th St
Miramar, FL 33027-4614

Mailing address

2114 N Flamingo Rd, #169
Pembroke Pines, FL 33028-3501

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 1821448820

Candace Clark's National Provider Identifier is 1821448820, issued on Jun 21, 2016. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Miramar, FL. The record was last updated on Jun 21, 2016.