OrganizationActive
Eilis Clark MD, LLC
NPI 1336635309 · Psychiatry Physician · Lecanto, FL
Eilis Clark MD, LLC is a Psychiatry Physician organization in Lecanto, FL (NPI 1336635309).
Provider details
- NPI number
- 1336635309
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eilis Clark, Mgrm(352) 631-7460
- License
- ME80041 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
210 S Salisbury Ter
Lecanto, FL 34461-5104
Phone: (352) 631-7460
Fax: (352) 600-0549
Street-level locationGet directions
Mailing address
210 S Salisbury Ter
Lecanto, FL 34461-5104
Registry dates
- Enumerated
- 2018-07-02
- Last updated
- 2020-01-11
- Certified
- 2020-01-11
Frequently asked questions
- What is Eilis Clark MD, LLC's NPI number?
- Eilis Clark MD, LLC's National Provider Identifier (NPI) is 1336635309, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eilis Clark MD, LLC?
- Eilis Clark MD, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Eilis Clark MD, LLC located?
- Eilis Clark MD, LLC's practice location on file with NPPES is 210 S Salisbury Ter, Lecanto, FL 34461-5104.
- What is Eilis Clark MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eilis Clark MD, LLC is (352) 631-7460.
- Who is the authorized official for Eilis Clark MD, LLC?
- The authorized official listed on Eilis Clark MD, LLC's NPPES record is Eilis Clark, Mgrm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eilis Clark MD, LLC's NPI active?
- Yes — Eilis Clark MD, LLC's NPI (1336635309) is active in the NPPES registry as of the last update on 2020-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.