Individual
ALIX MAKENCIE-JAIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 S GRANT ST, LONGWOOD, FL 32750-6532
(786) 234-5651
Mailing address
1321 S GRANT ST, LONGWOOD, FL 32750-6532
(786) 234-5651
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
FL
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
03/04/2026
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