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Josh Nathaniel Clark
Student in an Organized Health Care Education/Training Program in Lake Panasoffkee, Florida
NPI 1639263684

Josh Nathaniel Clark is a Student in an Organized Health Care Education/Training Program based in Lake Panasoffkee, FL. Josh Nathaniel Clark practices in Lake Panasoffkee, FL. The NPI Number for Josh Nathaniel Clark is 1639263684 and holds a License No. (Florida).

The current practice location address for Josh Nathaniel Clark is 1882 Cr 431A, Lake Panasoffkee, FL and can be reached out via phone at 609-408-3916.

Location: 1882 Cr 431A, Lake Panasoffkee, FL, 33538-4620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639263684
Provider Name
Josh Nathaniel Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
1882 Cr 431A, Lake Panasoffkee, FL, 33538-4620
Phone Number
609-408-3916
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1882 Cr 431A
City
Lake Panasoffkee
State
Florida
Zip
33538-4620
Phone Number
609-408-3916
Fax Number
person
Provider Business Mailing Address Details
Address
1882 Cr 431A
City
Lake Panasoffkee
State
Florida
Zip
33538-4620
Phone Number
609-408-3916
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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