Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY L CLARK, PA C
ActiveGARY L CLARK, PA C is a Medical Physician Assistant healthcare provider located in BROOKSVILLE, Florida. NPI 1114911328 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BROOKSVILLE, FL
Registration Details
- NPI Number
- 1114911328
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2005 (20.927318310517 yrs)
- Last Updated
- Sep 22, 2014
- License
-
PA2265 (FL)
Practice Information
- Address
-
605 LAMAR AVEBROOKSVILLE, FL, 346013211Browse FL providers · Browse ZIP 34601
- Phone
- 3527995411
- Fax
- 3525442713
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BROOKSVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MONTE EDWARDS | PAC | 1205820511 |
| MS. SUE ELLEN ROWE | P.A. | 1881792976 |
| SCOTT MICHAEL EDWARDS | PA | 1548589930 |
| JOSEPH JAMES STARNES | PA-C | 1679816185 |
| BRENT RENTFRO | P.A. | 1194128454 |
| ROBERT CHARLES BARDIN | — | 1548776065 |
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.