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

Dr. Charles Robert Clark, MD

Individual provider Family Medicine Physician · NPI 1164642948

Dr. Charles Robert Clark, MD is a Family Medicine Physician in Hernando, Florida. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1725 N Sky Glen Path
Hernando, FL 34442-6187
Phone: (352) 270-8425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence D19029 (MD)

Record details

NPI number1164642948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 26, 2007
Last updated in NPPESJanuary 2, 2008
Mailing address1725 N Sky Glen Path, Hernando, FL 34442-6187

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