Individual
ALEXIS KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250-3203
(904) 376-4182
(866) 665-2702
Mailing address
851 TRAFALGAR COURT, SUITE 200E, MAITLAND, FL 32751
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9231588
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002110500
—
FL
01
—
DB741Y
MEDICARE PTAN
FL
01
—
G009W
BCBS
FL
Enumeration date
03/04/2010
Last updated
07/12/2017
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