Individual
ALESSANDRA GROTEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 754-4673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11015323
FL
363L00000X
Nurse Practitioner
Primary
APRN11015323
FL
363LF0000X
Family Nurse Practitioner
APRN11015323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121474100
—
FL
Enumeration date
09/09/2021
Last updated
05/12/2026
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