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

Scott Clark, PA

Individual provider Physician Assistant · NPI 1255440475

Scott Clark, PA is a Physician Assistant in The Villages, Florida. Qualified in 1996, 30 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
30
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.

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Practice location Address checks out

1503 Buenos Aires Blvd Ste 100
The Villages, FL 32159-6825
Phone: (352) 753-2812
Fax: (352) 753-0537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2893 Enterprise Rd Ste 100, Debary, FL 32713-2784 — (386) 789-8600
  • 600 W Plymouth Ave, Deland, FL 32720-3260 — (386) 738-8000
  • 1918 Se 17th St # 300, Ocala, FL 34471-4120 — (352) 620-2420
  • 725 W Granada Blvd Ste 44, Ormond Beach, FL 32174-9406 — (386) 898-0547
  • 1816 Salk Ave, Tavares, FL 32778-4300 — (352) 343-2461

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA3724 (FL)

Record details

NPI number1255440475
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 21, 2022
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in The Villages