Individual provider · Type 1 NPI
Shane B. Clark, DO
Hematology & Oncology Physician · Fleming Island, FL
Practice location
2310 Village Square Pkwy Ste 106C
Fleming Island, FL 32003-6409
Fax (904) 202-2754
Mailing address
PO Box 746654
Atlanta, GA 30374-6654
Other practice locations
- 1301 Palm Ave Ste 700, Jacksonville, FL 32207-8457 · (904) 202-7300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | OS21375 (FL) |
| Medical Oncology Physician | 207RX0202X | OS21375 (FL) |
| Hematology & Oncology Physician Primary | 207RH0003X | OS21375 (FL) |
Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3 other providers at this address
Other hematology & oncology physician providers in Fleming Island
- Hema Madhavi Vankayala, MDHematology & Oncology Physician Fleming Island, FL NPI 1023227691
- Mehdi M. Moezi, MDHematology & Oncology Physician Fleming Island, FL NPI 1053316190
- Satish P. Shanbhag, MD, MPHHematology & Oncology Physician Fleming Island, FL NPI 1215140454
- Yi Luo, MDHematology & Oncology Physician Fleming Island, FL NPI 1528697265
About NPI 1902391477
Shane B. Clark, DO's National Provider Identifier is 1902391477, issued on Jun 27, 2018. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Fleming Island, FL. The record was last updated on Apr 30, 2025.