Most Relevant Information
Provider Data
| NPI Number: | 1003469602 |
| Provider Name: | GERALD CLEMENT |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 271150 |
Most Important Dates
| Enumeration Date: | 07/23/2019 |
| Last Updated: | 07/23/2019 |
Provider Practice Location
1481 S KIRKMAN RD APT 2082
ORLANDO
FL
328112598
Practice Location Phone/Fax
| Phone: | 4072742101 |
| Fax: |
Provider Mailing Location
1481 S KIRKMAN RD APT 2082
ORLANDO
FL
328112598
Provider Mailing Phone/Fax
| Phone: | 4072742101 |
| Fax: |