Individual
ALEXEI ALFONSO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2822 WOODRUFF DR, ORLANDO, FL 32837-9192
(786) 780-3159
Mailing address
2822 WOODRUFF DR, ORLANDO, FL 32837-9192
(786) 780-3159
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
CBHCM101972-P
FL
363LF0000X
Family Nurse Practitioner
Primary
11042100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBHCM101972-P
—
FL
Enumeration date
10/10/2018
Last updated
09/14/2025
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