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Individual

DR. CLARK V MONAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
419 ANASTASIA BLVD., ST. AUGUSTINE, FL 32080-4508
(904) 824-8353
(904) 824-5705
Mailing address
419 ANASTASIA BLVD., ST. AUGUSTINE, FL 32080-4508
(904) 824-8353
(904) 824-5705

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH002385
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050018600
FL
01
89830
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/18/2006
Last updated
03/26/2014
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