Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alec Cole Clark

Individual provider Neurological Surgery Physician · NPI 1003511072

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 St
Dade City, FL 33523-2503
Phone: (352) 232-8997
Fax: (833) 422-0029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Neurological Surgery Physician Taxonomy 207T00000X · Licence T-5055 (MS)

Record details

NPI number1003511072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025