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

Jack Clark, DO

Individual provider Rheumatology Physician · NPI 1073563847

Jack Clark, DO is a Rheumatology Physician in Cape Coral, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1528 Del Prado Blvd S
Cape Coral, FL 33990-3798
Phone: (239) 458-3338
Fax: (239) 458-0666
Show map & directions

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

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence OS8284 (FL)

Record details

NPI number1073563847
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESSeptember 29, 2021
Certification dateSeptember 29, 2021
Mailing address2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342

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