Individual
ALEXIS NIBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2230 SW 19TH AVENUE RD, OCALA, FL 34471
(352) 237-4133
(352) 237-7728
Mailing address
2230 SW 19TH AVENUE RD, OCALA, FL 34471-1391
(352) 237-4133
(352) 237-7728
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9102681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292335100
—
FL
Enumeration date
05/26/2006
Last updated
07/21/2022
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