Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Omar-Shay Clark, DC

Individual provider Chiropractor · NPI 1457895351

Dr. Omar-Shay Clark, DC is a Chiropractic in Cape Coral, Florida. Qualified in 2016, 10 years ago. Practices with Experience Family Chiropractic, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Licensed in
FL
In the registry since
2016
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

2378 Surfside Blvd Ste A133
Cape Coral, FL 33991-3181
Phone: (239) 205-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH11971 (FL)

Record details

NPI number1457895351
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 12, 2016
Last updated in NPPESDecember 12, 2016

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Experience Family Chiropractic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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