# CLARK CHIROPRACTIC AND WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538920665
- **Authorized official:** JOSHUA CLARK (OWNER)
- **Authorized official phone:** (304) 767-1921

## Contact information

- **Practice address:** 709 SEBASTIAN BLVD STE F, SEBASTIAN, FL 32958-8704
- **Practice address phone:** (772) 202-7236
- **Mailing address:** 10104 AUTHORS WAY, ORLANDO, FL 32832-6348
- **Mailing address phone:** (304) 767-1921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 04/26/2024