Michael J Clark, PA
Michael J Clark is a Physician Assistant provider (Physician Assistant) practicing in Clermont, FL, registered in the NPPES registry with NPI 1063511921 since 2006. The credential PA stands for Physician Assistant.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063511921 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Michael J Clark |
| Credential | PA |
| Sex | Male |
| Practice address | 1099 CITRUS TOWER BLVD, Clermont, FL, 34711 |
| Phone | 3523944071 |
| Fax | 9043460113 |
| Enumeration date | 2006-09-21 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Primary | PA0002555 | FL |
PA — Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential
Copy-ready billing details
Provider: Michael Clark, PA NPI: 1063511921 Taxonomy: 363A00000X (Physician Assistant) Address: 1099 CITRUS TOWER BLVD, Clermont, FL, 34711
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1467451062 | Jacqueline Miller | Individual | Medical Physician Assistant | Clermont, FL |
| 1952396970 | Emergency Physicians of Central Florida, LLP | Organization | Emergency Medicine Physician | Clermont, FL |
| 1649268202 | Ernesto Zavaleta, MD, PA | Organization | Internal Medicine Physician | Clermont, FL |
| 1497709521 | David Ghivizzani | Individual | Anesthesiology Physician | Clermont, FL |
| 1073551842 | Martin Fisher | Individual | Anesthesiology Physician | Clermont, FL |
| 1780616599 | Imke Casey | Individual | Certified Registered Nurse Anesthetist | Clermont, FL |
| 1548293947 | Teresa Layman | Individual | Certified Registered Nurse Anesthetist | Clermont, FL |
| 1245332873 | Christine Murphy | Individual | Emergency Medicine Physician | Clermont, FL |
Verify this record
Cross-check NPI 1063511921 against the authoritative CMS record: view Michael J Clark on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.