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

Michael J Clark, PA

Individual provider Physician Assistant · NPI 1063511921

Michael J Clark, PA is a Physician Assistant in Clermont, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1099 Citrus Tower Blvd
Clermont, FL 34711-1947
Phone: (352) 394-4071
Fax: (904) 346-0113
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA0002555 (FL)

Record details

NPI number1063511921
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 628296, Orlando, FL 32862-8296

Other providers in Clermont