Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN CLARK, D.O.
ActiveJUSTIN CLARK, D.O. is a Allergy & Immunology healthcare provider located in FORT WALTON BEACH, Florida. NPI 1538129085 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1538129085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2006 (20.392549750417 yrs)
- Last Updated
- Mar 17, 2018
- License
-
OS9224 (FL)
Practice Information
- Address
-
362 BEAL PKWY NW STE 105FORT WALTON BEACH, FL, 325483926Browse FL providers · Browse ZIP 32548
- Phone
- 8508623020
- Fax
- 8508621363
- Primary Specialty
-
Allergy & Immunology
207K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.