Search › Florida › 101YA0400X
Randy Clark
NPI 1134086986 · on the registry since 2026 · sole proprietor
Practice
- Address
- 14911 Se 73rd Ave
Summerfield, FL 34491 - Phone
- (352) 789-2908
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida