Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHANIE DONOSO CLARK, MD
ActiveDR. STEPHANIE DONOSO CLARK, MD is a 2083P0011X healthcare provider located in LEESBURG, Florida. NPI 1487276614 is currently active in the NPPES registry. Verify at CMS.
2083P0011X · LEESBURG, FL
Registration Details
- NPI Number
- 1487276614
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2020 (6.0717557681576 yrs)
- Last Updated
- Feb 24, 2026
- Licenses
-
ME165643 (FL)ME165643 (FL)
Practice Information
- Address
-
1414 E MAIN ST STE 2LEESBURG, FL, 347485399Browse FL providers · Browse ZIP 34748
- Phone
- 3527752055
- Fax
- 3529016954
- Primary Specialty
-
2083P0011X
2083P0011X
- Additional Specialty
- 2083P0011X
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.