Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breon Clark

Individual provider Physical Therapist · NPI 1821955154

Breon Clark is a Physical Therapist in New Smyrna Beach, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

507 S Orange St
New Smyrna Beach, FL 32168-7318
Phone: (386) 424-5181
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT40539 (FL)

Record details

NPI number1821955154
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address507 S Orange St, New Smyrna Beach, FL 32168-7318

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