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Candace Clark
Developmental Disabilities Clinic/Center in Miramar, Florida
NPI 1821448820

Candace Clark is a Developmental Disabilities Clinic/Center based in Pembroke Pines, FL and is specialized in Developmental Disabilities. Candace Clark practices in Miramar, FL. The NPI Number for Candace Clark is 1821448820 and holds a License No. (Florida).

The current practice location address for Candace Clark is 17008 Sw 39Th St, Miramar, FL and can be reached out via phone at 786-232-2902.

Location: 17008 Sw 39Th St, Miramar, FL, 33028-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821448820
Provider Name
Candace Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
17008 Sw 39Th St, Miramar, FL, 33028-3501
Phone Number
786-232-2902
Fax Number
Provider Enumeration Date
06/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016651300 05 FL
institution
Provider Business Practice Location Address Details
Address
17008 Sw 39Th St
City
Miramar
State
Florida
Zip
33027-4614
Phone Number
786-232-2902
Fax Number
person
Provider Business Mailing Address Details
Address
17008 Sw 39Th St
City
Miramar
State
Florida
Zip
33027-4614
Phone Number
786-232-2902
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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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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