Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Clark Douglas Brandt, PA-C

Individual provider Surgical Physician Assistant · NPI 1952809188

Mr. Clark Douglas Brandt, PA-C is a Physician Assistant in Orlando, Florida. Qualified in 2017, 9 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

217 Hillcrest St
Orlando, FL 32801-1211
Phone: (407) 425-1566
Fax: (407) 422-0166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9110707 (FL)

Record details

NPI number1952809188
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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