MEDICARE: DOCTORS MCCLOW CLARK & BERK PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	CF1461	OTHER	FL	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	00308	OTHER	FL	BC BS OF FLORIDA
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669420436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS MCCLOW CLARK & BERK PA

Provider Business Mailing Address
First Line	:	PO BOX 161180
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32716-1180
Country	:	US
Telephone Number	:	904-388-6949
Fax Number	:	904-388-1841

Provider Business Practice Location Address
First Line	:	1 SHIRCLIFF WAY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4748
Country	:	US
Telephone Number	:	904-308-7300
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARIO REZAEI
Credential	:	MD
Telephone Number	:	904-388-6949

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/28/2026

Similar Medicare Providers

1487911178 — DR. KELVIN J HAROLD M.D.
Practice Location Address:

1 SHIRCLIFF WAY
JACKSONVILLE, FL
32204-4748

Practice Phone: 904-308-7300
Practice Fax:

1174103105 — DR. LOREN SAFILLE MD
Practice Location Address:

1 SHIRCLIFF WAY STE 1208
JACKSONVILLE, FL
32204-4748

Practice Phone: 904-308-3960
Practice Fax: 904-308-3533

1942860614 — JOSHUA FONSECA BOLANOS MD
Practice Location Address:

1 SHIRCLIFF WAY
JACKSONVILLE, FL
32204-4748

Practice Phone: 954-939-6636
Practice Fax:

1427058130 — DR. DONALD SCOTT COVINGTON MD
Practice Location Address:

1 SHIRCLIFF WAY
JACKSONVILLE, FL
32204-4748

Practice Phone: 352-250-2650
Practice Fax: 904-281-9806

1962494542 — MAX SOLANO M.D.
Practice Location Address:

1 SHIRCLIFF WAY
JACKSONVILLE, FL
32204-4748

Practice Phone: 904-900-2421
Practice Fax:

1730174038 — PHIL C PERRY MD
Practice Location Address:

1 SHIRCLIFF WAY , SUITE 1302
JACKSONVILLE, FL
32204-4748

Practice Phone: 904-308-7420
Practice Fax:

Directions to “DOCTORS MCCLOW CLARK & BERK PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.