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Individual
ALEXANDRA DOMINIQUE KOELTZOW
Active
Individual
ALEXANDRA DOMINIQUE KOELTZOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN9390112
FL
363L00000X
Nurse Practitioner
11003194
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11003194
FL
Other
Enumeration date
07/02/2019
Last updated
08/13/2026
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