Individual
ASHLEY LOUGHAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
421 S KEECH ST, DAYTONA BEACH, FL 32114-4623
(386) 248-9095
(386) 248-9096
Mailing address
421 S KEECH ST, DAYTONA BEACH, FL 32114-4623
(386) 248-9095
(386) 248-9096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115456
FL
Other
Enumeration date
01/05/2022
Last updated
04/21/2026
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