Individual
ALEXUS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8787 BRYAN DAIRY RD STE 210, LARGO, FL 33777-1253
(727) 397-9641
(727) 393-4194
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11012613
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112648900
—
FL
Enumeration date
04/22/2021
Last updated
03/04/2026
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