Individual provider · Type 1 NPI

Timothy Dale Clark, CCP

Durable Medical Equipment & Medical Supplies · Gainesville, FL

NPI number 1831226604 Active

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

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X1312783 (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.