CLARK LTC PA – Internal Medicine Physician, NPI 1104507235

CLARK LTC PA is a healthcare provider. based in Bushnell, Florida. specializing in Internal Medicine Physician. The NPI Number for CLARK LTC PA is 1104507235

Main info

Organization
Name
CLARK LTC PA
NPI
1104507235
Phone
(352) 793-2441
Address
212 S FLORIDA ST
Authorized Official
LOWELL F CLARK OWNER MD
Enumeration Date
31 July 2023
Last Update Date
31 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

Provider Addresses for CLARK LTC PA

  • 212 S FLORIDA ST

    BUSHNELL, FL 335136703

    Phone: (352) 793-2441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33513)

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Reviews

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Frequently asked questions

What number should I use to identify CLARK LTC PA for billing?
Administrative and clinical systems typically use NPI 1104507235 for CLARK LTC PA.
Does the public listing show CLARK LTC PA as active?
CLARK LTC PA's NPI record reflects an active status in NPPES.
What services align with CLARK LTC PA's listing?
CLARK LTC PA's public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to CLARK LTC PA?
CLARK LTC PA shows a connection to Bushnell, Florida in registry-derived data.
Why is information missing for CLARK LTC PA?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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