Individual
MR. ALEXIS S TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
571 SW 142 AVE # 403-O, PEMBROKE PINES, FL 33027
(754) 221-9238
Mailing address
571 SW 142 AVE # 403-O, PEMBROKE PINES, FL 33027
(754) 221-9238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAADC-05-20-7593
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598507618
GROUP NPI
FL
Enumeration date
01/10/2024
Last updated
07/17/2024
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