Individual
JOSHUA NATHANIEL CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1882 CR 431A, LAKE PANASOFFKEE, FL 33538-4620
(609) 408-3916
Mailing address
1882 CR 431A, LAKE PANASOFFKEE, FL 33538-4620
(609) 408-3916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9119484
FL
Other
Enumeration date
10/03/2006
Last updated
11/25/2024
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