Clark, Brandon C

Clark, Brandon C is an individual health care provider with primary practice located at 500 Fairway Dr , Deerfield Beach FL 33441-1814. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Clark, Brandon C can be contacted via phone (954) 603-7885.

Contact Information

Primary practice address
500 Fairway Dr Deerfield Beach FL 33441-1814
Phone: (954) 603-7885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 103K00000X Florida

Profile Details

NPI number 1871872416
LBN Legal business name Clark, Brandon C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2011
Last updated Jan 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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