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Individual

ALEXANDRA MARIE LACQUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1090 KANE CONCOURSE STE 207, BAY HARBOR ISLANDS, FL 33154-2129
(000) 000-0000
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(718) 873-3564

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME160890
FL

Other

Enumeration date
03/31/2020
Last updated
07/13/2026
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