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VERSAILLES G CLARK
NPI 1649977422
Technician/Technologist in Davenport, FL

Active since February 13, 2023
616 CORVINA DR, DAVENPORT, FL 33897(313) 695-7079 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Versailles G Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERSAILLES G CLARK (NPI 1649977422) is an individual technician/technologist in Davenport, Florida and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1649977422
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameVERSAILLES G CLARK
Location Address616 CORVINA DRDavenport, FL 33897-4437
Mailing Address616 Corvina DrDavenport, FL 33897-4437 · (313) 695-7079
Phone(313) 695-7079
Sole ProprietorYes
Enumeration DateFebruary 13, 2023
NPPES CertifiedFebruary 11, 2023
✔ NPI 1649977422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
616 CORVINA DR, Davenport, FL 33897
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Versailles Clark's NPI number?

The NPI number for Versailles Clark is 1649977422. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Versailles Clark located?

Versailles Clark practices at 616 Corvina Dr, Davenport, FL 33897. The listed phone number is (313) 695-7079.

What is Versailles Clark's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Versailles Clark was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.