Kevin Clark, M.M.S., PA-C

NPI 1235370743 · on the registry since 2009

Practice

Address: 103 Memorial Medical Pkwy Ste 125
Daytona Beach, FL 32117
Phone: (386) 274-0250
Organisation at this address: North Florida Surgeons, Pa
Cardiology Physicians Memorial, Llc
Adventhealth Surgery Center Daytona Beach, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363AM0700X
207P00000X
Licence states on file: FL, IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida