# ALEC COLE CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003511072
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106S00000X | Behavior Technician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | TRN5055 | FL | Yes |
| 207T00000X | Neurological Surgery Physician | T-5055 | MS | — |

## Other

- **Enumeration date:** 03/31/2023
- **Last updated:** 10/04/2026