RAYMOND THOMAS CLARK
NPI 1760345250
Student in an Organized Health Care Education/Training Program in Lake Mary, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since December 03, 2025

1307 S INTERNATIONAL PKWY STE 2051, LAKE MARY, FL 32746(407) 284-1191 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Raymond Thomas Clark NPPES

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

RAYMOND THOMAS CLARK (NPI 1760345250) is an individual student in an organized health care education/training program in Lake Mary, Florida and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1760345250

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameRAYMOND THOMAS CLARK

Location Address1307 S INTERNATIONAL PKWY STE 2051Lake Mary, FL 32746-1414

Mailing Address1307 S International Pkwy Ste 2051Lake Mary, FL 32746-1414 · (407) 284-1191

Phone(407) 284-1191

Sole ProprietorYes

Enumeration DateDecember 3, 2025

NPPES CertifiedDecember 3, 2025

✔ NPI 1760345250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1307 S INTERNATIONAL PKWY STE 2051, Lake Mary, FL 32746

Open in Google Maps ↗