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DR. EDMUND JUSTIN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 N. MONROE STREET, SUITE 800 (PRIVATE OFFICE 860), TALLAHASSEE, FL 32301-1500
(833) 351-8255
Mailing address
109 W 27TH ST RM 5S, NEW YORK, NY 10001-6208
(833) 351-8255

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
339552
NY
2084P0800X
Psychiatry Physician
75023
TN
2084P0800X
Psychiatry Physician
Primary
ME105344
FL

Other

Enumeration date
09/21/2006
Last updated
10/15/2025
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