Individual
JOSEPH LOUIS CLARK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11565 HARTS RD, JACKSONVILLE, FL 32218-3777
(904) 751-1834
Mailing address
11565 HARTS RD, JACKSONVILLE, FL 32218-3777
(904) 751-1834
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA26711
FL
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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