Healthcare Provider Details

I. General information

NPI: 1932519287
Provider Name (Legal Business Name): JOSHUA DANIEL CLAUNCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5011 GATE PKWY BUILDING 100/SUITE 100
JACKSONVILLE FL
32256-0830
US

IV. Provider business mailing address

5011 GATE PKWY BUILDING 100/SUITE 100
JACKSONVILLE FL
32256-0830
US

V. Phone/Fax

Practice location:
  • Phone: 508-815-7284
  • Fax: 833-764-4446
Mailing address:
  • Phone: 508-815-7284
  • Fax: 833-764-4446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberME180049
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME180049
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME180049
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: