OrganizationActive
Clark Family Medicine
NPI 1194199919 · Primary Care Clinic/Center · Miramar Beach, FL
Provider details
- NPI number
- 1194199919
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Clark, Owner(850) 269-0111
- License
- ME0073997 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12815 US Highway 98 W Ste 116
Miramar Beach, FL 32550-3245
Phone: (850) 269-0111
Fax: (850) 269-0114
Street-level locationGet directions
Mailing address
12815 US Highway 98 W Ste 116
Miramar Beach, FL 32550-3245
Registry dates
- Enumerated
- 2015-11-17
- Last updated
- 2015-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.