Individual
MS. CHIMENE ALEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4699 N STATE ROAD 7, SUITE B2, LAUDERDALE LAKES, FL 33319-5879
(954) 486-1925
(954) 486-1983
Mailing address
4699 N STATE ROAD 7, SUITE B2, LAUDERDALE LAKES, FL 33319-5879
(954) 486-1925
(954) 486-1983
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA49009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA49009
LICENSE
FL
Enumeration date
09/08/2007
Last updated
09/08/2007
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