Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL J CLARK, PA
ActiveMICHAEL J CLARK, PA is a Physician Assistant healthcare provider located in CLERMONT, Florida. NPI 1063511921 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLERMONT, FL
Registration Details
- NPI Number
- 1063511921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.887669563831 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA0002555 (FL)
Practice Information
- Address
-
1099 CITRUS TOWER BLVDCLERMONT, FL, 347111947Browse FL providers · Browse ZIP 34711
- Phone
- 3523944071
- Fax
- 9043460113
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CLERMONT, FL
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT PURRONE | PA-C | 1871565705 |
| ERIC MASON | PA | 1720026024 |
| CAROL L TAKIS | PA C | 1922178706 |
| LUIS HERNANDEZ | OPA-C | 1659426096 |
| JENNIFER VALENTIN | PA-C, DMS | 1720267149 |
| JARED BATTISTONI | PA | 1821322926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.