IndividualActive
Perrin Clark, M.D.
NPI 1194796128 · Otolaryngology/Facial Plastic Surgery Physician · Ormond Beach, FL
Provider details
- NPI number
- 1194796128
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- N2444 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1050 W Granada Blvd
Suite 4
Ormond Beach, FL 32174-8154
Phone: (386) 677-8808
Fax: (386) 677-9919
Approximate (ZIP-level) locationGet directions
Mailing address
15280 Nw 79th Ct Ste 200
Miami Lakes, FL 33016-5873
Registry dates
- Enumerated
- 2006-01-28
- Last updated
- 2024-04-25
- Certified
- 2024-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.