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

Dr. Perrin C Clark, MD

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1194796128

Dr. Perrin C Clark, MD is an Otolaryngology in Ormond Beach, Florida. Graduated from Temple University School of Medicine in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
29
Trained at
Temple University School of Medicine
Licensed in
TX
In the registry since
2006
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

1050 W Granada Blvd Ste 4
Ormond Beach, FL 32174-8154
Phone: (386) 677-8808
Fax: (386) 677-9919
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence N2444 (TX)

Record details

NPI number1194796128
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 28, 2006
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount