Individual
ALEC COLE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15048 14TH ST, DADE CITY, FL 33523-2503
(352) 232-8997
(833) 422-0029
Mailing address
15048 14TH ST, DADE CITY, FL 33523-2503
(352) 232-8997
(833) 422-0029
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
207T00000X
Neurological Surgery Physician
T-5055
MS
Other
Enumeration date
03/31/2023
Last updated
09/17/2025
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