NPI 1538129085 JUSTIN CLARK D.O. FT WALTON BEACH FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Justin Clark - NPI: 1538129085

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JUSTIN CLARK
NPI Number: 1538129085
Entity Type Code: Individual (1)
Gender: M
Credentials: D.O.
License Number: OS9224
Business Practice Address: 1025 Beal Pkwy Nw
Suite D Ft Walton Beach, FL - 325471446
Business Phone Number: 8508623020
Business Fax Number:
Mailing Address: 1025 Beal Pkwy Nw, Suite D
FT WALTON BEACH
State: FL
Postal Code: 325471446
Phone Number: 8508623020
Fax Number:
NPI Enumeration Date: 03/27/2006
NPI Last Update Date: 01/10/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207K00000X
License Number: OS9224
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Allergy & Immunology
Taxonomy Specialization:
Taxonomy Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.


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