Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK CLARK, D.O.
ActiveJACK CLARK, D.O. is a Rheumatology healthcare provider located in CAPE CORAL, Florida. NPI 1073563847 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · CAPE CORAL, FL
Registration Details
- NPI Number
- 1073563847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.291034784949 yrs)
- Last Updated
- Sep 29, 2021
- License
-
OS8284 (FL)
Practice Information
- Address
-
1528 DEL PRADO BLVD SCAPE CORAL, FL, 339903798Browse FL providers · Browse ZIP 33990
- Phone
- 2394583338
- Fax
- 2394580666
- Primary Specialty
-
Rheumatology
207RR0500X
Other Rheumatology Providers in CAPE CORAL, FL
| Name | Credential | NPI |
|---|---|---|
| DR. NOSHEEN MAZHAR | MD | 1558347146 |
| MELISSA MATZUMURA KUAN | M.D. | 1477818375 |
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.