Individual
ELIA MYA LEXINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, ATC
Contact information
Practice address
1401 WEST SEMINOLE BLVD, SANFORD, FL 32771
(407) 321-4500
Mailing address
106 NORTH 20TH STREET, FORT PIERCE, FL 34950
(772) 882-2566
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22753
FL
2255A2300X
Athletic Trainer
BOC2000017708
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA2753
STATE LICENSE
FL
Enumeration date
08/06/2014
Last updated
08/06/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us