Individual provider · Type 1 NPI
Timothy Dale Clark, CCP
Durable Medical Equipment & Medical Supplies · Gainesville, FL
Practice location
1600 SW Archer Rd, Suite NG-28
Gainesville, FL 32610-3003
Fax (352) 332-3761
Mailing address
9335 SW 35th Ln
Gainesville, FL 32608-8620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 1312783 (FL) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1831226604
Timothy Dale Clark, CCP's National Provider Identifier is 1831226604, issued on Feb 27, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Gainesville, FL. The record was last updated on Jul 9, 2007.