Individual
DR. SONYA MICIAK CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 PALMETTO ST, NEW SMYRNA BEACH, FL 32168-7327
(386) 424-6845
(386) 424-3847
Mailing address
770 W GRANADA BLVD STE 101, ORMOND BEACH, FL 32174-5179
(386) 231-4519
(386) 368-8927
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
32951
SC
207XS0106X
Orthopaedic Hand Surgery Physician
2016-02120
NC
207XS0106X
Orthopaedic Hand Surgery Physician
32951
SC
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
OS22614
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04301531
—
MS
05
—
1519420
—
TN
Enumeration date
03/22/2007
Last updated
11/18/2025
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