JOHN LEON CLARK DPM NPI 1134382377

NPI Information

  • NPI: 1134382377
  • Provider Name: JOHN LEON CLARK, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 542067 US HIGHWAY 1
    CALLAHAN, FL
    ZIP 32011
  • Phone: (904) 879-2552

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NPI Details

John Leon Clark, DPM is a foot and ankle surgery podiatrist in Callahan, FL. John Leon Clark, DPM NPI is 1134382377. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

542067 US HIGHWAY 1
CALLAHAN, FL
ZIP 32011-110
Phone: (904) 879-2552
Fax: (904) 879-6360

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryPO2985FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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