Provider Demographics
NPI:1437421997
Name:CLARKE, SHEREFFA (DC)
Entity Type:Individual
Prefix:DR
First Name:SHEREFFA
Middle Name:
Last Name:CLARKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7830 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-5055
Mailing Address - Country:US
Mailing Address - Phone:813-843-1865
Mailing Address - Fax:
Practice Address - Street 1:9741 PRESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-2793
Practice Address - Country:US
Practice Address - Phone:972-335-2004
Practice Address - Fax:972-335-2037
Is Sole Proprietor?:No
Enumeration Date:2012-01-30
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10510111N00000X
TX13837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor