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

Dr. Michael Jonathan Clark, MD

Individual provider Otolaryngology Physician · NPI 1619134970

Dr. Michael Jonathan Clark, MD is an Otolaryngology in Venice, Florida. Graduated from University of Louisville School of Medicine in 2005, 21 years ago. Practices with Island ENT LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
21
Trained at
University of Louisville School of Medicine
Licensed in
PA
In the registry since
2008
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

420 Nokomis Ave S
Venice, FL 34285-2617
Phone: (941) 355-2767
Fax: (941) 355-0617
Show map & directions

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

Additional practice locations (1)

  • 2401 University Pkwy Ste 102, Sarasota, FL 34243-2894 — (914) 355-2767

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MT186642 (PA)

Record details

NPI number1619134970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2008
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address2401 University Pkwy Ste 102, Sarasota, FL 34243-2894

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Island Ent Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount