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

Richard O Clark, PAC

Individual provider Physician Assistant · NPI 1932109105

Richard O Clark, PAC is a Physician Assistant in Pensacola, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
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

1717 N E St Ste 331
Pensacola, FL 32501-6339
Phone: (850) 444-1717
Fax: (850) 444-1755
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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 PA000270 (FL)

Record details

NPI number1932109105
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 28, 2005
Last updated in NPPESSeptember 11, 2007

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