1. Home
  2. Directory
  3. Florida
  4. Gainesville
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

TIMOTHY DALE CLARK CCP
NPI 1831226604
Durable Medical Equipment & Medical Supplies in Gainesville, FL

Active since February 27, 2007
1600 SW ARCHER RD, SUITE NG-28, GAINESVILLE, FL 32610(352) 665-1209(352) 332-3761 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Dale Clark Ccp NPPES

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

TIMOTHY DALE CLARK CCP (NPI 1831226604) is an individual durable medical equipment & medical supplies provider in Gainesville, Florida, licensed in Florida (1312783) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1831226604
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameTIMOTHY DALE CLARKCredential: CCP
Location Address1600 SW ARCHER RD, SUITE NG-28Gainesville, FL 32610-3003
Mailing Address9335 Sw 35th LnGainesville, FL 32608-8620 · (352) 665-1209 · Fax (352) 332-3761
Phone(352) 665-1209
Fax(352) 332-3761
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1831226604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in FL · 1312783
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1600 SW ARCHER RD, Gainesville, FL 32610
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC5627130001FL

Other Providers at the Same Location NPPES 20

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

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Timothy Clark's NPI number?

The NPI number for Timothy Clark is 1831226604. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Timothy Clark located?

Timothy Clark practices at 1600 SW Archer Rd Suite Ng-28, Gainesville, FL 32610. The listed phone number is (352) 665-1209.

What is Timothy Clark's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Timothy Clark was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.