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

Shane B Clark, DO

Individual provider Hematology (Internal Medicine) Physician · NPI 1902391477

Shane B Clark, DO is a Hematology/Oncology in Fleming Island, Florida. Qualified in 2018, 8 years ago. Practices with Baptist MD Anderson Cancer Physicians Inc, a 122-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2310 Village Square Pkwy Ste 106C
Fleming Island, FL 32003-6409
Phone: (904) 202-7300
Fax: (904) 202-2754
Show map & directions

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

Additional practice locations (1)

  • 1301 Palm Ave Ste 700, Jacksonville, FL 32207-8457 — (904) 202-7300

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence OS21375 (FL)
Hematology (Internal Medicine) Physician Taxonomy 207RH0000X · Licence OS21375 (FL)
Medical Oncology Physician Taxonomy 207RX0202X · Licence OS21375 (FL)

Record details

NPI number1902391477
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing addressPo Box 746654, Atlanta, GA 30374-6654

Medicare enrollment

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

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Baptist Md Anderson Cancer Physicians Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fleming Island