Individual
MRS. ALEXIS CHAPAS LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073-5148
(904) 398-5437
(904) 398-3077
Mailing address
5870 HIATUS RD, TAMARAC, FL 33321-6424
(954) 377-2925
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9248660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO514Z
MEDICARE PTAN
FL
Enumeration date
07/21/2009
Last updated
09/12/2019
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