Search › Florida › 207Q00000X
Justin Clark, M.D
NPI 1609135011 · on the registry since 2012
Practice
- Address
- 532 Riverside Ave Ste 103
Jacksonville, FL 32202 - Phone
- (904) 353-5696
- Fax
- (904) 390-7483
- Organisation at this address
- Cj New Path
The Best Doctors
Pophealthcare, Llc
Baptist Primary Care IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- MO, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-19
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