Individual
ALEXANDRA BANALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11673 RENAISSANCE VIEW CT, TAMPA, FL 33626-2683
(813) 205-0490
Mailing address
11673 RENAISSANCE VIEW CT, TAMPA, FL 33626-2683
(813) 205-0490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9116927.
FL
Other
Enumeration date
03/27/2023
Last updated
11/12/2025
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