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

Dr. Diane Marie Clark, DC

Individual provider Chiropractor · NPI 1306994637

Dr. Diane Marie Clark, DC is a Chiropractic in Port Orange, Florida. Qualified in 1987, 39 years ago. Practices with Palmer College Foundation, a 42-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
39
Licensed in
FL
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4705 S Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone: (386) 763-2728
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH5971 (FL)

Record details

NPI number1306994637
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 5, 2007
Last updated in NPPESDecember 19, 2012

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Palmer College Foundation — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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