# ALL SEASONS ALLERGY AND ASTHMA CENTER, P.A.

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

## Provider details

- **NPI number:** 1578618104
- **Authorized official:** DR. JUSTIN CLARK D.O. (DIRECTOR)
- **Authorized official phone:** (850) 862-3020

## Contact information

- **Practice address:** 362 BEAL PKWY NW STE 105, FORT WALTON BEACH, FL 32548-3926
- **Practice address phone:** (850) 862-3020
- **Practice address fax:** (850) 862-1363
- **Mailing address:** 362 BEAL PKWY NW STE 105, FORT WALTON BEACH, FL 32548-3926
- **Mailing address phone:** (850) 862-3020
- **Mailing address fax:** (850) 862-1363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | OS9224 | FL | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 10/03/2017