Individual
ALEXA FAUSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-5508
(941) 235-0532
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
9119257
FL
Other
Enumeration date
09/23/2024
Last updated
08/24/2025
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