Individual
MISS BRINKLEY ALEXIS TRUEHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BATES AVE SW, WINTER HAVEN, FL 33880-2953
(863) 288-0960
(863) 288-0963
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112516
FL
363AM0700X
Medical Physician Assistant
PA9112516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110368900
—
FL
Enumeration date
09/07/2019
Last updated
09/03/2025
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