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CLARK FAMILY MEDICINE
NPI 1194199919
Clinic/Center - Primary Care in Miramar Beach, FL

Active since November 17, 2015
12815 US HIGHWAY 98 W STE 116, MIRAMAR BEACH, FL 32550(850) 269-0111(850) 269-0114 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clark Family Medicine NPPES

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

CLARK FAMILY MEDICINE (NPI 1194199919) is a healthcare organization registered as a primary care in Miramar Beach, Florida and active in the NPI registry since November 2015. The organization lists Lisa Bardy Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1194199919
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCLARK FAMILY MEDICINE
Location Address12815 US HIGHWAY 98 W STE 116Miramar Beach, FL 32550-3245
Mailing Address12815 Us Highway 98 W Ste 116Miramar Beach, FL 32550-3245 · (850) 269-0111 · Fax (850) 269-0114
Phone(850) 269-0111
Fax(850) 269-0114
Organization SubpartNo
Authorized OfficialLisa Bardy ClarkOwner · (850) 269-0111
Enumeration DateNovember 17, 2015
✔ NPI 1194199919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · ME0073997
12815 US HIGHWAY 98 W STE 116, Miramar Beach, FL 32550
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Other Identifiers 1

Medicare UPING77346FL

Other Providers at the Same Location NPPES

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

CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA
General Practice
12815 US HIGHWAY 98 W STE 116
MIRAMAR BEACH, FL 32550
Walton County (850) 932-5055

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 Clark Family Medicine's NPI number?

The NPI number for Clark Family Medicine is 1194199919. It was assigned to this organization in the NPPES registry on November 17, 2015.

Where is Clark Family Medicine located?

Clark Family Medicine is located at 12815 Us Highway 98 W Ste 116, Miramar Beach, FL 32550. The listed phone number is (850) 269-0111.

What is Clark Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Clark Family Medicine was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.