Individual
MRS. ALEXANDRA GABRIELLE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8209 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3016
(866) 400-3376
(727) 569-1505
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9111662
FL
Other
Enumeration date
09/14/2018
Last updated
03/12/2024
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