Individual
ILOMISE ALEXANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 NE 6TH ST, CAPE CORAL, FL 33909-2271
(239) 242-0597
Mailing address
1923 NE 6TH ST, CAPE CORAL, FL 33909-2271
(239) 297-8839
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
RN9265458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-5498456
—
FL
Enumeration date
11/10/2018
Last updated
11/10/2018
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