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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Fred Elton Clark III, M.D.

Family Medicine Physician in Saint Petersburg, FL · enumerated 2008.

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

National Provider Identifier

1609022086

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Registry record

Entity type Individual (Type 1)
Name Mr. Fred Elton Clark III
Credential M.D.
Sex Male
Practice address 4401 4th St N, Saint Petersburg, FL, 33703
Phone (727) 525-4401
Fax (727) 525-7788
Enumeration date Aug 18, 2008
Last updated in NPPES Apr 18, 2017

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME102187 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
137000 Medicaid FL -
7A6EU Other FL BCBS

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 → Validate an NPI →

Frequently asked questions

What specialty is Fred Clark?
Fred Clark is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-04-18.