Individual provider · Type 1 NPI

Clarence Julian Clark Ii, MD, MS

Student in an Organized Health Care Education/Training Program · South Miami, FL

NPI number 1114860947 Active

Practice location

7031 SW 62nd Ave
South Miami, FL 33143-4701

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114860947

Clarence Julian Clark Ii, MD, MS's National Provider Identifier is 1114860947, issued on Apr 14, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Miami, FL. The record was last updated on Apr 14, 2026.