person
Gregory Clark
Driver in Lakeland, Florida
NPI 1760991012

Gregory Clark is a Driver based in Lakeland, FL. Gregory Clark practices in Lakeland, FL. The NPI Number for Gregory Clark is 1760991012 and holds a License No. (Florida).

The current practice location address for Gregory Clark is 1091 Old South Dr, Lakeland, FL and can be reached out via phone at 813-846-1181. You can also correspond with Gregory Clark through the mailing address at 1091 OLD SOUTH DR, LAKELAND, FL - 33811-2333 (mailing address contact number: 813-846-1181).

Location: 1091 Old South Dr, Lakeland, FL, 33811-2333
person
Provider Profile Details
NPI Number
1760991012
Provider Name
Gregory Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1091 Old South Dr, Lakeland, FL, 33811-2333
Phone Number
813-846-1181
Fax Number
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1091 Old South Dr
City
State
Zip
33811
Phone Number
813-846-1181
Fax Number
person
Provider Business Mailing Address Details
Address
1091 Old South Dr
City
State
Zip
33811
Phone Number
813-846-1181
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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