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CANDACE CLARK
NPI 1821448820
Clinic/Center - Developmental Disabilities in Miramar, FL

Active since June 21, 2016
17008 SW 39TH ST, MIRAMAR, FL 33027(786) 232-2902 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candace Clark NPPES

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

CANDACE CLARK (NPI 1821448820) is an individual developmental disabilities provider in Miramar, Florida and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1821448820
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameCANDACE CLARK
Location Address17008 SW 39TH STMiramar, FL 33027-4614
Mailing Address2114 N Flamingo Rd, #169Pembroke Pines, FL 33028-3501 · (786) 232-2902
Phone(786) 232-2902
Sole ProprietorYes
Enumeration DateJune 21, 2016
✔ NPI 1821448820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
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.).
17008 SW 39TH ST, Miramar, FL 33027
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Other Identifiers 1

Medicaid016651300FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEWEL LEARNING, LLC
Day Training, Developmentally Disabled Services
17008 SW 39TH ST
MIRAMAR, FL 33027
Broward County (954) 418-2036

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 Candace Clark's NPI number?

The NPI number for Candace Clark is 1821448820. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Candace Clark located?

Candace Clark practices at 17008 SW 39th St, Miramar, FL 33027. The listed phone number is (786) 232-2902.

What is Candace Clark's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Candace Clark was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.