Justin Clark, D.O

NPI 1538129085 · on the registry since 2006

Practice

Address: 362 Beal Pkwy Nw Ste 105
Fort Walton Beach, FL 32548
Phone: (850) 862-3020
Fax: (850) 862-1363
Organisation at this address: All Seasons Allergy And Asthma Center, P.A.
Inferred from a shared address, not stated in the registry.

Additional practice sites

115 Beech Avenue, Crestview, FL

Registry record

Primary taxonomy: 207K00000X
207K00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida