IndividualActive
Alisha Clark
NPI 1205502655 · Independent Duty Medical Technicians · Tallahassee, FL
Provider details
- NPI number
- 1205502655
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- E2027750 (TX)
Practice location
2507 Old Saint Augustine Rd
Tallahassee, FL 32301-6209
Phone: (866) 466-2475
Mailing address
2507 Old Saint Augustine Rd
Tallahassee, FL 32301-6209
Registry dates
- Enumerated
- 2021-08-17
- Last updated
- 2021-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.