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

Clark Reed Stream, PA-C

Individual provider Physician Assistant · NPI 1578509386

Clark Reed Stream, PA-C is a Physician Assistant in Panama City Beach, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2522
Phone: (850) 532-6168
Fax: (850) 532-6568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9100951 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9100951 (FL)

Record details

NPI number1578509386
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 21, 2006
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022

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