Active NPI
Max Arnold Clark II, M.D.
- Occupational Medicine Physician
- Lake Buena Vista, FL
National Provider Identifier
1538130851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- ME132989
- Practice address
- 950 Backstage Lane
Lake Buena Vista, FL 32830 - Phone
- (407) 242-4274
- NPI assigned
- Jan 27, 2006
- Last updated
- May 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | ME132989 | FL | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 01061175A | IN | |
| Occupational Medicine Physician | 2083X0100X | C146217 | CA |
Addresses
Primary practice location
950 Backstage Lane
Lake Buena Vista, FL 32830
Mailing address
950 Backstage Lane
Lake Buena Vista, FL 32830
Phone (407) 242-4274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01061175A | IN | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| C146217 | CA | MD | Occupational Medicine Physician |
| ME132989 | FL | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1538130851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 BACKSTAGE LANE",
"city": "LAKE BUENA VISTA",
"state": "FL",
"postal_code": "32830",
"telephone_number": "407-242-4274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 BACKSTAGE LANE",
"city": "LAKE BUENA VISTA",
"state": "FL",
"postal_code": "32830",
"telephone_number": "407-242-4274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MAX",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "FL",
"license": "ME132989",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "IN",
"license": "01061175A",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "C146217",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Buena Vista, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.