IndividualActive
Michael Clark
NPI 1942715255 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Coral Springs, FL
Provider details
- NPI number
- 1942715255
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 1624 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10600 Riverside Drive
Coral Springs, FL 33071-3307
Phone: (954) 812-5661
Fax: (954) 812-5661
Approximate (ZIP-level) locationGet directions
Mailing address
3192 Merrick Terrace
Margate, FL 33063
Registry dates
- Enumerated
- 2017-12-08
- Last updated
- 2017-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.