GREGORY CLARK


Address: 1091 Old South Dr, Lakeland, FL 33811
Phone: (813) 846-1181

GREGORY CLARK (NPI# 1760991012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760991012
Entity Type Individual
Full Name GREGORY CLARK
Practice Address 1091 Old South Dr
Lakeland
FL 33811
Mailing Address 1091 Old South Dr
Lakeland
FL 33811-2333
Practice Telephone (813) 846-1181
Mailing Telephone 8138461181
Enumeration Date 2017-09-28
Last Update Date 2017-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172A00000X Driver Other Service Providers

Other Providers GREGORY CLARK

NPI Name Taxonomy Address Enumeration
1184758229 Gregory Ray Clark Physical Therapist 3 Windsor Ct, Shawnee, OK 74804-2330 2007-03-14
1114064797 Gregory Dale Clark Dentist 4212 Mcever Rd, Oakwood, GA 30566-2237 2007-01-31
1225141823 Gregory Lynn Clark Specialist 11790 Sw Barnes Rd, Suite 330, Portland, OR 97225-5934 2006-08-16
1689608952 Gregory D Clark Social Worker 118 Broadway N, Ste 810, Fargo, ND 58102-4949 2006-07-10
1164409728 Gregory Clark Counselor 225 N Beaumont Rd, Prairie Du Chien, WI 53821-1445 2005-12-26
1528627833 Gregory Scott Clark Nurse Anesthetist, Certified Registered 3333 W Deyoung St, Marion, IL 62959-5884 2019-06-10
1073178851 Gregory Clark Student in an Organized Health Care Education/Training Program 550 1st Ave, New York, NY 10016-6402 2019-05-07
1548736622 Gregory Allen Clark Marriage & Family Therapist 1150 5th St Ste 270, Coralville, IA 52241-2933 2018-10-16
1881055911 Gregory Scott Clark Jr. Counselor 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 2016-03-17
1164841102 Gregory S Clark Physician Assistant 8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 2014-04-07

Office Location

Street Address 1091 OLD SOUTH DR
City LAKELAND
State FL
Zip Code 33811

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952910200 Darielle Shanette Berrian Assisted Living Facility 1548 Georgetown Dr, Lakeland, FL 33811 2020-07-23
1356870703 Jeanette Michelle Edmonds Psychologist 4231 S. Pipkin Rd., Building 2 - Mental Health/behavioral Sciences, Lakeland, FL 33811 2017-06-08
1932353406 Monique L Lisowski Dietitian, Registered 4231 South Pipkin Road, Lakeland, FL 33811 2008-11-11
1306987029 Lifesavers Home Respiratory, Inc. Durable Medical Equipment & Medical Supplies 2525 Drane Field Rd, Suite 14, Lakeland, FL 33811 2007-02-08
1518010305 Kirk Randall Smith Nurse Practitioner 1475 Airport Road, Lakeland, FL 33811 2007-01-18
1578568176 Southeastern Medical Supply Inc Durable Medical Equipment & Medical Supplies 3615 Century Blvd, Unit #1, Lakeland, FL 33811 2005-06-20
1225279318 Affordable Transport Inc. Non-emergency Medical Transport (VAN) 3706 Dmg Dr, Lakeland, FL 33811-1043 2009-03-18
1457747875 Candace Borders Physical Therapy Assistant 3225 Thoroughbred Loop N, Lakeland, FL 33811-1078 2015-04-13
1962849729 Angelica Monteverde Counselor 3121 Filly Ln, Lakeland, FL 33811-1080 2013-06-03
1821440686 Claudia White Borders Counselor 3058 Sire Trl, Lakeland, FL 33811-1090 2016-07-05
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Taxonomy Information

Taxonomy Code 172A00000X
Grouping Other Service Providers
Classification Driver

Taxonomy Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720632896 Monica Smith Driver 714 S Ingraham Ave, Lakeland, FL 33801-5602 2019-07-27
1366917650 Dennis Small Driver 9160 Highway 64 Ste 12-187, Lakeland, TN 38002-4766 2018-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083212872 Webster Luccin Driver 4175 S Congress Ave Ste B, Palm Springs, FL 33461-4725 2020-10-13
1225636434 Toccara S Bennett Driver 5721 Rywood Dr, Orlando, FL 32810-6610 2020-10-12
1235736398 Meekins Senior Shuttle Driver 15599 Moss Hollow Dr, Jacksonville, FL 32218-6875 2020-10-01
1063026037 Jarilsa E Narvaez Driver 3975 Sunset Rd, Lehigh Acres, FL 33971-5638 2020-09-07
1164035887 Lovell Braswell Jr. Driver 3706 Nw 122nd Ter, Sunrise, FL 33323-3319 2020-08-24
1093327009 Toni Mabien Driver 4701 E Hanna Ave, Tampa, FL 33610-2522 2020-08-20
1770193203 Timothy Webster Sr. Driver 1465 Shadow Creek Dr, Orange Park, FL 32065-2514 2020-08-10
1780293068 Guillermo Gonzalez I Driver 1037 Ne Pine Island Ln, Cape Coral, FL 33909-2176 2020-07-23
1821606633 Miguel Angel Cedeno Driver 6513 14th St W Ste 141, Bradenton, FL 34207-5803 2020-07-17
1912525379 Rafael Martinez Driver 10967 Peppertree Ln, Port Richey, FL 34668-2420 2020-07-10
Find all providers with the same taxonomy

Competitor

Search similar providers

City LAKELAND
Zip Code 33811

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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