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

Melissa D. Clark, PAC

Individual provider Physician Assistant · NPI 1407860166

Melissa D. Clark, PAC is a Physician Assistant in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

909 N Dale Mabry Hwy
Tampa, FL 33609-1251
Phone: (813) 978-9700
Fax: (813) 978-9700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102703 (FL)

Record details

NPI number1407860166
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESFebruary 16, 2015
Mailing address13020 N Telecom Pkwy, Temple Terrace, FL 33637-0925

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