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Angela G Clark
Developmental Disabilities Clinic/Center in Plant City, Florida
NPI 1164072492

Angela G Clark is a Developmental Disabilities Clinic/Center based in Plant City, FL and is specialized in Developmental Disabilities. Angela G Clark practices in Plant City, FL. The NPI Number for Angela G Clark is 1164072492 and holds a License No. (Florida).

The current practice location address for Angela G Clark is 4703 Horton Rd, Plant City, FL and can be reached out via phone at 813-808-9023.

Location: 4703 Horton Rd, Plant City, FL, 33567-3625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164072492
Provider Name
Angela G Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
4703 Horton Rd, Plant City, FL, 33567-3625
Phone Number
813-808-9023
Fax Number
Provider Enumeration Date
09/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4703 Horton Rd
City
Plant City
State
Florida
Zip
33567-3625
Phone Number
813-808-9023
Fax Number
person
Provider Business Mailing Address Details
Address
4703 Horton Rd
City
Plant City
State
Florida
Zip
33567-3625
Phone Number
813-808-9023
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Florida)
Definition
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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