Individual
ALEXIS WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
Mailing address
217 HILLCREST ST, ORLANDO, FL 32801-1211
(407) 425-1566
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1234
FL
363A00000X
Physician Assistant
Primary
PA9117850
FL
Other
Enumeration date
08/24/2023
Last updated
11/03/2023
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