Doctor profile · Federal record

Dr. Lerone Clark, DO

Diagnostic Radiology Physician · Jacksonville, FL

  • NPI 1457102741
  • 2 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4500 San Pablo RD S
Jacksonville, FL 322241865
(904) 953-2000

Credentials & registration

NPPES · NUCC
NPI registered
March 2024 — 2 yrs on file
Profile last updated
December 2, 2025
Specialty taxonomy
2085R0202X — NUCC code
State license (1)
Florida #OS23027

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1457102741. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$49
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Boston Scientific Corporation 1 $48.68

By nature of payment

Food and Beverage
$49

Frequently asked questions

Auto-generated from federal data
What is Dr. Lerone Clark's medical specialty?
Dr. Lerone Clark practices Diagnostic Radiology Physician in Jacksonville, FL.
Where does Dr. Lerone Clark practice?
Dr. Lerone Clark practices at 4500 San Pablo RD S, Jacksonville, FL 322241865. Office phone: 9049532000.
What is Dr. Lerone Clark's NPI?
Dr. Lerone Clark's National Provider Identifier (NPI) is 1457102741, issued by NPPES.