MEDICARE: TERALEA M CLARK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	AS2652	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760589550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERALEA M CLARK

Provider Business Mailing Address
First Line	:	PO BOX 406153
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-1876
Country	:	US
Telephone Number	:	561-478-8770
Fax Number	:	561-688-8877

Provider Business Practice Location Address
First Line	:	7701 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2536
Country	:	US
Telephone Number	:	561-439-8821
Fax Number	:	561-439-5035

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	10/15/2008

Similar Medicare Providers

1316927742 — CRAIG S SELINGER DC
Practice Location Address:

7749 LAKE WORTH RD
LAKE WORTH, FL
33467-2536

Practice Phone: 561-434-9949
Practice Fax: 561-434-9954

1790890127 — APPLE DIABETIC SHOES, INC.
Practice Location Address:

7775 LAKE WORTH RD
LAKE WORTH, FL
33467-2536

Practice Phone: 877-277-5313
Practice Fax: 561-964-1091

1225192578 — DR CRAIG SELINGER DC PA
Practice Location Address:

7749 LAKE WORTH RD
LAKE WORTH, FL
33467-2536

Practice Phone: 561-434-9949
Practice Fax: 561-434-9954

1114122744 — MRS. PAMELA ELIZABETH DEFINE M.S., FAAA
Practice Location Address:

7701 LAKE WORTH RD
LAKE WORTH, FL
33467-2536

Practice Phone: 561-439-8821
Practice Fax:

1114113222 — MERCURY CENTER PA
Practice Location Address:

7775 LAKE WORTH RD
LAKE WORTH, FL
33467-2536

Practice Phone: 561-967-6800
Practice Fax: 561-967-0975

1598944340 — DR. LANCE HERSCHEL HARRISON JR. DDS
Practice Location Address:

7725 LAKE WORTH RD STE 7729
LAKE WORTH, FL
33467-2536

Practice Phone: 561-359-6483
Practice Fax:

Directions to “ TERALEA M CLARK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.