Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jack Clark, D.O.

Rheumatology Physician in Cape Coral, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073563847

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Registry record

Entity type Individual (Type 1)

Name Jack Clark

Credential D.O.

Sex Male

Practice address 1528 Del Prado Blvd S, Cape Coral, FL, 33990

Phone (239) 458-3338

Fax (239) 458-0666

Enumeration date May 11, 2006

Last updated in NPPES Sep 29, 2021

Taxonomy & licenses

207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians · License OS8284 (FL) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
272380800	Medicaid	FL	-

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.

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Frequently asked questions

Is NPI 1073563847 active?

Yes, as of the latest NPPES snapshot, NPI 1073563847 is active (record last updated 2021-09-29).

How do I verify Jack Clark's NPI record?

Cross-check NPI 1073563847 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-29.