GREGORY CLARK
NPI 1760991012
Driver in Lakeland, FL
About Gregory Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREGORY CLARK (NPI 1760991012) is an individual driver provider in Lakeland, Florida and active in the NPI registry since September 2017.
NPPES Registry Identity
Specialties & Licenses
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 Gregory Clark's NPI number?
The NPI number for Gregory Clark is 1760991012. It was assigned to this individual provider in the NPPES registry on September 28, 2017.
Where is Gregory Clark located?
Gregory Clark practices at 1091 Old South Dr, Lakeland, FL 33811. The listed phone number is (813) 846-1181.
What is Gregory Clark's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Gregory Clark was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gregory Clark · NPI 1760991012
Driver provider in Lakeland, Florida. Individual provider, active in the CMS NPPES registry since September 28, 2017.
## Identity
- **NPI:** 1760991012 (Entity type: Individual)
- **Enumerated:** September 28, 2017
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1091 OLD SOUTH DR, Lakeland, FL 33811
- **Phone:** (813) 846-1181
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1760991012) · Data from the CMS NPPES public registry.