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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHEN CLARK M.D.
NPI 1104826593
Family Medicine in Jacksonville, FL

Active since July 28, 2005
6111 BEACH BLVD, JACKSONVILLE, FL 32216(904) 739-1140(904) 722-1674 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN CLARK M.D. (NPI 1104826593) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (37087) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1104826593
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN CLARKCredential: M.D.
Location Address6111 BEACH BLVDJacksonville, FL 32216-2751
Mailing Address6111 Beach BlvdJacksonville, FL 32216-2751 · (904) 739-1140 · Fax (904) 722-1674
Phone(904) 739-1140
Fax(904) 722-1674
Sole ProprietorNo
Enumeration DateJuly 28, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1104826593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 37087
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6111 BEACH BLVD, Jacksonville, FL 32216
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHARLOTTE COTTON M.D.
Family Medicine
6111 BEACH BLVD
JACKSONVILLE, FL 32216
Duval County (904) 739-1140
MRS. JANA B ROBINSON ARNP
Nurse Practitioner
6111 BEACH BLVD
JACKSONVILLE, FL 32216
Duval County (904) 739-1140
FAMILY PRACTICE ASSOCIATES OF JACKSONVILLE
Family Medicine
6111 BEACH BLVD
JACKSONVILLE, FL 32216
Duval County (904) 739-1140
MR. DENVER D NUTTER M.D.
Family Medicine
6111 BEACH BLVD
JACKSONVILLE, FL 32216
Duval County (904) 739-1140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Clark's NPI number?

The NPI number for Stephen Clark is 1104826593. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Stephen Clark located?

Stephen Clark practices at 6111 Beach Blvd, Jacksonville, FL 32216. The listed phone number is (904) 739-1140.

What is Stephen Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephen Clark was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.