TERALEA M CLARK (NPI# 1760589550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760589550 |
| Entity Type | Individual |
| Full Name | TERALEA M CLARK |
| Practice Address |
7701 Lake Worth Rd Lake Worth FL 33467-2536 |
| Mailing Address |
Po Box 406153 Atlanta GA 30384-1876 |
| Practice Telephone | 5614398821 |
| Practice Fax Number | 5614395035 |
| Mailing Telephone | 5614788770 |
| Mailing Fax Number | 5616888877 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | AS2652 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 610124100 | 05 |
| Street Address |
7701 LAKE WORTH RD |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861428906 | Victoria Ann Rojas | Audiologist | 7701 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2006-06-23 |
| 1942521604 | Marci Joy Cornish | Audiologist | 7701 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2010-06-17 |
| 1114122744 | Pamela Elizabeth Define | Audiologist | 7701 Lake Worth Rd, Lake Worth, FL 33467-2536 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746346 | Susan J'aimes Horne | Hearing Instrument Specialist | 6250 Lantana Rd Ste 22, Lake Worth, FL 33463-6611 | 2017-12-27 |
| 1841516457 | Aaron Lederman | Hearing Instrument Specialist | 7556 Lake Worth Rd Ste 103, Lake Worth, FL 33467-2503 | 2010-04-08 |
| 1760754717 | Mefl, LLC | Hearing Instrument Specialist | 7556 Lake Worth Rd Ste 103, Lake Worth, FL 33467-2503 | 2012-02-07 |
| 1053647651 | Shannen Marcie Burgess | Hearing Instrument Specialist | 3937 Boat Club Rd, Lake Worth, TX 76135-3202 | 2009-11-02 |
| 1437317666 | David Carothers | Hearing Instrument Specialist | 3937 Boat Club Rd, Lake Worth, TX 76135-3202 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740521 | Gary Mcfadyen | Hearing Instrument Specialist | 395 E. Point Washington, Santa Rosa Beach, FL 32459 | 2020-11-04 |
| 1447859822 | Ask Mobile Hearing Aid Specialists | Hearing Instrument Specialist | 17035 Gulf Blvd, North Redington Beach, FL 33708-1496 | 2020-10-18 |
| 1073111480 | Matthew Joseph Jones | Hearing Instrument Specialist | 2536 Enterprise Rd Ste 20, Orange City, FL 32763-7939 | 2020-10-16 |
| 1831706803 | Iris Jeannette Lazo | Hearing Instrument Specialist | 1008 Willa Springs Dr Ste 110, Winter Springs, FL 32708-5205 | 2020-09-24 |
| 1679183628 | Krysta Siliris | Hearing Instrument Specialist | 3146 Little Rd, Trinity, FL 34655-1864 | 2020-08-05 |
| 1063020915 | April Christine Gonzalez | Hearing Instrument Specialist | 1500 Beach Blvd Ste 314, Jacksonville, FL 32250-2621 | 2020-07-16 |
| 1669097531 | Stephanie Zang | Hearing Instrument Specialist | 290 Citrus Tower Blvd Ste 105, Clermont, FL 34711-2783 | 2020-06-16 |
| 1235758863 | Madison G Gilley | Hearing Instrument Specialist | 1501 N Us Highway 441 Ste 1402, The Villages, FL 32159-6818 | 2020-04-14 |
| 1972139343 | Mildred Bernice Mcardle | Hearing Instrument Specialist | 1515 Us Highway 1 Ste 104, Sebastian, FL 32958-1612 | 2020-03-18 |
| 1346876109 | Kristen O'konski | Hearing Instrument Specialist | 3267 Garden St, Titusville, FL 32796-3004 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
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| 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.