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Search › Florida › 207RH0003X

Shane Clark, DO

NPI 1902391477 · on the registry since 2018

Practice

Address
2310 Village Square Pkwy Ste 106c
Fleming Island, FL 32003
Phone
(904) 202-7300
Fax
(904) 202-2754
Organisation at this address
Baptist Neurology Inc
Baptist Cardiology Inc
Baptist Primary Care Inc
Baptist Primary Care Inc
Baptist Md Anderson Cancer Physicians
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Additional practice sites

  • 1301 Palm Ave Ste 700, Jacksonville, FL

Registry record

Primary taxonomy
207RH0003X
207RH0003X
Also registered as
207RH0000X
207RX0202X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-30

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