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Timothy Dale Clark, CCP
Durable Medical Equipment & Medical Supplies in Gainesville, Florida
NPI 1831226604

Timothy Dale Clark is a Durable Medical Equipment & Medical Supplies based in Gainesville, FL. Timothy Dale Clark practices in Gainesville, FL and has the professional credentials of CCP. The NPI Number for Timothy Dale Clark is 1831226604 and holds a License No. 1312783 (Florida).

The current practice location address for Timothy Dale Clark is 1600 Sw Archer Rd, Gainesville, FL and can be reached out via phone at 352-665-1209 and via fax at 352-332-3761.

Location: 1600 Sw Archer Rd, Gainesville, FL, 32608-8620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831226604
Provider Name
Timothy Dale Clark
Credential
CCP
Provider Entity Type
Individual
Gender
Male
Address
1600 Sw Archer Rd, Gainesville, FL, 32608-8620
Phone Number
352-665-1209
Fax Number
352-332-3761
Provider Enumeration Date
02/27/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-665-1209
Fax Number
352-332-3761
person
Provider Business Mailing Address Details
Address
1600 Sw Archer Rd
City
Gainesville
State
Florida
Zip
32610-3003
Phone Number
352-665-1209
Fax Number
352-332-3761
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1312783 (Florida)
Definition
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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