Individual provider · Type 1 NPI

Mark Ko, PA-C

Surgical Physician Assistant · Clermont, FL

NPI number 1982589321 Active

Practice location

16966 Cagan Ridge Blvd Ste 220
Clermont, FL 34714-9656

Fax (321) 843-1673

Other practice locations

  • 6027 Arbor Watch Loop, Orlando, FL 32829-7436 · (954) 383-4452
  • 1600 Budinger Ave Ste C, St. Cloud, FL 34769-6005 · (321) 843-5851
  • 13564 Village Park Dr Unit 150, Orlando, FL 32837-7765 · (321) 843-5851

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA9120851 (FL)
Physician Assistant 363A00000XNone listed

Surgical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1982589321

Mark Ko, PA-C's National Provider Identifier is 1982589321, issued on Aug 6, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clermont, FL. The record was last updated on Feb 9, 2026.