MR. RANDALL CLARK (NPI# 1598997330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598997330 |
| Entity Type | Individual |
| Full Name | MR. RANDALL CLARK |
| Credential | LMT, CINT |
| Practice Address |
13830 58th St N Ste 404 Clearwater FL 33760-3720 |
| Practice Telephone | 7273474325 |
| Practice Fax Number | 7275385787 |
| Mailing Telephone | 7273474325 |
| Mailing Fax Number | 7275385787 |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2009-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 32969 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1013336437 | Randall Edward Clark Jr. | Durable Medical Equipment & Medical Supplies | 918 E Southlake Blvd, Southlake, TX 76092-6344 | 2014-04-14 |
| 1891790374 | Randall Clark | Urology | 4325 Sun N Lake Blvd Ste 105, Sebring, FL 33872-2171 | 2005-06-20 |
| 1265873111 | Randall Bruce Clark II | Radiology | 1 Hospital Dr, Columbia, MO 65212-1000 | 2013-07-08 |
| 1063573319 | Randall Norton Clark | Family Medicine | 3299 Clear Vista Ct Ne, Suite C, Grand Rapids, MI 49525-9477 | 2006-12-12 |
| 1447200944 | Randall Clark | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-05-12 |
| Street Address |
13830 58TH ST N STE 404 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33760-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053813444 | Enver Ruzdija Arnp LLC | Clinic/Center | 14690 Sugar Cane Way, Clearwater, FL 33760 | 2018-03-01 |
| 1528577087 | Csi-pediatric Services, Inc | Clinic/Center | 5291 110th Ave, Clearwater, FL 33760 | 2017-09-27 |
| 1457877094 | Healthcare Alliance LLC | In Home Supportive Care | 13575 58 St N, Ste 178, Clearwater, FL 33760 | 2017-08-15 |
| 1497208805 | 211 Tampa Bay Cares, Inc. | Voluntary or Charitable | 14155 58th Street North, Suite 211, Clearwater, FL 33760 | 2016-08-02 |
| 1760885503 | Amanda Pawlik | Physical Therapist | 13830 58th St. N., Suite 409, Clearwater, FL 33760 | 2014-10-08 |
| 1871842252 | Christine Lynne Felix | Radiology | 2028 Arbor Drive, Clearwater, FL 33760 | 2012-08-31 |
| 1194072017 | Anna Mccord | Speech-Language Pathologist | 13575 58th Street North, Clearwater, FL 33760 | 2012-08-09 |
| 1245460195 | Patricia Kathrine Clay | Occupational Therapist | 4902 Creekside Dr Ste A, Clearwater, FL 33760 | 2009-07-24 |
| 1346447992 | Tms Management Group, Inc. | Transportation Broker | 16331 Bay Vista Dr, Clearwater, FL 33760 | 2007-06-28 |
| 1730266461 | Joan Marie Jannino | Social Worker | 2188 58th St. N., Clearwater, FL 33760 | 2006-11-01 |
| Find all providers in zip 33760 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893676 | Anthony Johnson | Massage Therapist | 25350 Us Highway 19 N Apt 212, Clearwater, FL 33763-2125 | 2020-08-29 |
| 1326689795 | Jesse Sprague | Massage Therapist | 2561 Harn Blvd Unit 6, Clearwater, FL 33764-5133 | 2019-10-07 |
| 1508381948 | Michelle Alexandria Brown | Massage Therapist | 2431 Estancia Blvd Ste A2, Clearwater, FL 33761-2608 | 2017-08-07 |
| 1114442597 | Candy Kibert | Massage Therapist | 2637 Mccormick Dr Ste 102, Clearwater, FL 33759-1034 | 2017-08-07 |
| 1720485576 | Claude Hooten IIi | Massage Therapist | 641 1/2 Mandalay Ave, Clearwater, FL 33767-1523 | 2014-11-21 |
| 1972924397 | Melissa Elaine Loera | Massage Therapist | 2936 Drew St, Apt. 1323, Clearwater, FL 33759-3055 | 2014-01-02 |
| 1578903779 | Susan Marie Pelletier | Massage Therapist | 721 Lakeview Rd, Suite E, Clearwater, FL 33756-3422 | 2013-07-02 |
| 1659627578 | Jennifer Mcquade Wilson | Massage Therapist | 1153 Ne Cleveland St, Clearwater, FL 33755-4815 | 2012-07-29 |
| 1629354329 | Cathy Friedman-kamhi | Massage Therapist | 16 N Fort Harrison Ave, Clearwater, FL 33755-4015 | 2011-10-25 |
| 1558640375 | Steven Charles Lund | Massage Therapist | 1514 Midnight Pass Way, Clearwater, FL 33765-1818 | 2011-08-10 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33760 |
Please comment or provide details below to improve the information on MR. RANDALL 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.