Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSHUA NATHANIEL CLARK
Active Sole ProprietorJOSHUA NATHANIEL CLARK is a Physician Assistant healthcare provider located in LAKE PANASOFFKEE, Florida. NPI 1639263684 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKE PANASOFFKEE, FL
Registration Details
- NPI Number
- 1639263684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.863053943402 yrs)
- Last Updated
- Nov 25, 2024
- License
-
PA9119484 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1882 CR 431ALAKE PANASOFFKEE, FL, 335384620Browse FL providers · Browse ZIP 33538
- Phone
- 6094083916
- Primary Specialty
-
Physician Assistant
363A00000X
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.