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

Dr. Clinton Ryan Hall, MD

Individual provider Surgery Physician · NPI 1306055009

Dr. Clinton Ryan Hall, MD is a General Surgery in Winter Haven, Florida. Graduated from University of South Florida College of Medicine in 2004, 22 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
22
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

635 1st St N
Winter Haven, FL 33881-4129
Phone: (863) 294-0670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME107524 (FL)

Record details

NPI number1306055009
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESMay 28, 2024
Certification dateDecember 18, 2023
Mailing address2995 Drew St Fl 2, Clearwater, FL 33759-3012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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