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Alicia Clark

NPI 1497434740 · on the registry since 2023 · sole proprietor

Practice

Address
15800 Beach Walk Blvd Ste 1001
Fort Myers, FL 33908
Phone
(239) 349-3769

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida