Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE B CLARK, DO
ActiveSHANE B CLARK, DO is a Hematology healthcare provider located in FLEMING ISLAND, Florida. NPI 1902391477 is currently active in the NPPES registry. Verify at CMS.
Hematology · FLEMING ISLAND, FL
Registration Details
- NPI Number
- 1902391477
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2018 (8.1727817094043 yrs)
- Last Updated
- Apr 30, 2025
- Licenses
-
OS21375 (FL)OS21375 (FL)OS21375 (FL)
Practice Information
- Address
-
2310 VILLAGE SQUARE PKWY STE 106CFLEMING ISLAND, FL, 320036409Browse FL providers · Browse ZIP 32003
- Phone
- 9042027300
- Fax
- 9042022754
- Primary Specialty
-
Hematology
207RH0003X
- Additional Specialty
- Medical Oncology
- Additional Specialty
- Hematology
Other Hematology Providers in FLEMING ISLAND, FL
| Name | Credential | NPI |
|---|---|---|
| DR. MEHDI M MOEZI | MD | 1053316190 |
| SATISH P SHANBHAG | MD,MPH | 1215140454 |
| DR. HEMA MADHAVI VANKAYALA | MD | 1023227691 |
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.