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GARY L CLARK PA C
NPI 1114911328
Physician Assistant - Medical in Brooksville, FL

Active since September 01, 2005
605 LAMAR AVE, BROOKSVILLE, FL 34601(352) 799-5411(352) 544-2713 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary L Clark Pa C NPPES

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

GARY L CLARK PA C (NPI 1114911328) is an individual medical provider in Brooksville, Florida, licensed in Florida (PA2265) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1114911328
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameGARY L CLARKCredential: PA C
Location Address605 LAMAR AVEBrooksville, FL 34601-3211
Mailing Address605 Lamar AveBrooksville, FL 34601-3211 · (352) 799-5411 · Fax (352) 544-2713
Phone(352) 799-5411
Fax(352) 544-2713
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateSeptember 22, 2014
✔ NPI 1114911328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA2265
605 LAMAR AVE, Brooksville, FL 34601
Open in Google Maps ↗

Other Identifiers 10

Other970028329FL · Railroad Medicare
Medicare PINE1048YFL
Other900013195FL · Railroad Medicare
Medicare PINE1048CFL
Other970029323FL · Railroad Medicare
Medicare PINE1048AFL
Medicare PINE1048BFL
OtherY00ZLFL · Bc/bs Fl
Medicare UPINS60212
Medicaid290338500FL

Other Providers at the Same Location NPPES 11

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

EDDY LAROCHE MD
Family Medicine
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (352) 796-9990
JAMES R CUMMINGS MD PA
Clinic/Center (Rural Health)
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (352) 796-9990
DR. VIVIAN JUDITH BRASCH MD
Internal Medicine
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (352) 796-9990
MONTE EDWARDS PAC
Physician Assistant (Medical)
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (352) 799-5411
VERIMED HEALTH GROUP, BROOKSVILLE
Clinic/Center (Primary Care)
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (813) 415-5038
PHYSICIAN PARTNERS NETWORK PA
Clinic/Center (Rural Health)
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (352) 796-9990
CHUKWUKA G AYETIN D.O.
Family Medicine
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (352) 796-9990
MRS. ANNA K ALLEN ARNP
Nurse Practitioner (Primary Care)
605 LAMAR AVE
BROOKSVILLE, FL 34601
Hernando County (352) 799-5411

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 Gary Clark's NPI number?

The NPI number for Gary Clark is 1114911328. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Gary Clark located?

Gary Clark practices at 605 Lamar Ave, Brooksville, FL 34601. The listed phone number is (352) 799-5411.

What is Gary Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Gary Clark was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.