Alec Cole Clark
Alec Cole Clark is a Neurological Surgery Physician in Dade City, Florida. Licensed in Mississippi. Registered with an NPI since 2023.
- Licensed in
- MS
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
15048 14th StDade City, FL 33523-2503
Phone: (352) 232-8997
Fax: (833) 422-0029
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Neurological Surgery Physician | Taxonomy 207T00000X · Licence T-5055 (MS) |
Record details
| NPI number | 1003511072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 31, 2023 |
| Last updated in NPPES | September 17, 2025 |
| Certification date | September 17, 2025 |
| Mailing address | 15048 14th St, Dade City, FL 33523-2503 |