ANGELA G CLARK (NPI# 1164072492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164072492 |
| Entity Type | Individual |
| Full Name | ANGELA G CLARK |
| Practice Address |
4703 Horton Rd Plant City FL 33567-3625 |
| Practice Telephone | 8138089023 |
| Mailing Telephone | 8138089023 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267930 | Angela C Clark | Registered Nurse | 18548 S Kanaga Loop, Eagle River, AK 99577-8675 | 2020-02-20 |
| 1558720284 | Angela Clark | Counselor | 1401 Irene Ln, Fort Gibson, OK 74434-8339 | 2016-02-23 |
| 1316339294 | Angela Nicole Clark | Occupational Therapist | 210 Oriole Ln, Telford, TN 37690-2370 | 2015-03-02 |
| 1457680415 | Angela L Clark | Counselor | 3105 E Skelly Dr Ste 310, Tulsa, OK 74105-6371 | 2009-12-21 |
| 1811123060 | Angela C Clark | Speech-Language Pathologist | 1039 Ne Polk Ave, Arcadia, FL 34266-5055 | 2009-06-02 |
| 1235195835 | Angela M Clark | Physician Assistant | 2009 5th St, Monroe, WI 53566-1546 | 2006-04-22 |
| 1144836230 | Angela Kate Clark | Counselor | 324 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2020-09-23 |
| 1275008914 | Angela Marie Clark | Nurse Practitioner | 5255 Members Pkwy Nw, Rochester, MN 55901-8381 | 2018-10-09 |
| 1669968921 | Angela Clark | Registered Nurse | 500 Hancock St, Saginaw, MI 48602-4224 | 2018-07-10 |
| 1740775659 | Angela Clark | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-25 |
| Street Address |
4703 HORTON RD |
| City | PLANT CITY |
| State | FL |
| Zip Code | 33567-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790109403 | Patty's House 3 LLC | Assisted Living Facility | 110 E Keysville Road, Plant City, FL 33567 | 2014-02-17 |
| 1447378989 | Natalie Dawn Packer | Licensed Practical Nurse | 1609 Bowman Ave, Plant City, FL 33567 | 2007-03-26 |
| 1942372073 | Satishchandra V Dholakia | Urology | 1601 Timerblane Dr., Suite 300, Plant City, FL 33567-0957 | 2006-11-14 |
| 1508413352 | Bettyann Marie Sigl | Technician | 4514 Holloway Creek Dr, Plant City, FL 33567-2061 | 2019-08-26 |
| 1386111334 | Kirstin Richmond | Family Medicine | 3405 Grove Blossom Ln, Plant City, FL 33567-2067 | 2018-10-29 |
| 1053647925 | Care To Go Home Care Corp. | In Home Supportive Care | 3602 Trapnell Ridge Dr, Plant City, FL 33567-2074 | 2009-10-27 |
| 1992360119 | Celeste Mariah Echevarria | Physician Assistant | 3124 Azalea Blossom Dr, Plant City, FL 33567-2105 | 2019-05-02 |
| 1932670239 | Hope Sheldon | Technician | 3709 Crystal Dew St, Plant City, FL 33567-2112 | 2018-12-11 |
| 1215482138 | Afram Servies Inc | Adult Companion | 3114 Magnolia Garden Dr, Plant City, FL 33567-2114 | 2016-08-20 |
| 1902103278 | Tara L. Batchelor | Behavioral Analyst | 7825 Turkey Creek Rd, Plant City, FL 33567-3027 | 2011-02-22 |
| Find all providers in zip 33567 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| 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.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669833182 | Speech Rehabilitation Services | Clinic/Center | 1528 Avondale Ridge Dr, Plant City, FL 33567-3682 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164463 | Jamesas Williams | Clinic/Center | 880 Piedmont Dr Se, Winter Haven, FL 33880-4547 | 2020-11-05 |
| 1942801964 | Aleyda P Blanco | Clinic/Center | 11177 Sw 8th St Apt 308, Pembroke Pines, FL 33025-6987 | 2020-11-05 |
| 1619578978 | Mays Caring Home LLC | Clinic/Center | 103 Shaw Blvd, Fort Myers, FL 33905-2632 | 2020-11-03 |
| 1801497235 | Precious Dreams Group Home #2, Inc. | Clinic/Center | 820 Nw 32nd Ave, Miami, FL 33125-3906 | 2020-11-03 |
| 1619578192 | Elsyoff Care Center LLC | Clinic/Center | 1727 Nw 19th Ter, Cape Coral, FL 33993-4915 | 2020-11-02 |
| 1417558099 | Trnity Fields Inc | Clinic/Center | 12210 Netherfield Ct, Riverview, FL 33569-4117 | 2020-11-02 |
| 1891395430 | Kettia Noel | Clinic/Center | 1573 Se Clearbrook St, Port Saint Lucie, FL 34983-4050 | 2020-10-30 |
| 1740880871 | Salubrious Home Therapy Services, Inc | Clinic/Center | 3421 Sw 114th Ct, Miami, FL 33165-3330 | 2020-10-28 |
| 1407456718 | Evelyne Charles | Clinic/Center | 3301 White Blossom Ln, Clermont, FL 34711-6366 | 2020-10-27 |
| 1295334191 | Aging At Home LLC | Clinic/Center | 1858 Forest Hills Rd, Jacksonville, FL 32208-2535 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
| City | PLANT CITY |
| Zip Code | 33567 |
Please comment or provide details below to improve the information on ANGELA G CLARK.
| 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.