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Breon Clark

NPI 1821955154 · on the registry since 2026

Practice

Address
507 S Orange St
New Smyrna Beach, FL 32168
Phone
(386) 424-5181
Clinicians at this address
6

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-08

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