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

Lerone Evanton Clark, DO

Individual provider Diagnostic Radiology Physician · NPI 1457102741

Lerone Evanton Clark, DO is a Diagnostic Radiology in Jacksonville, Florida. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2024, 2 years ago. Licensed in Florida.

Years since qualifying
2
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
FL
In the registry since
2024
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

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS23027 (FL)

Record details

NPI number1457102741
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESMay 9, 2026
Certification dateMay 9, 2026
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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