Individual
ALEX KYLE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16410 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908-9621
(239) 343-6202
(239) 343-4159
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-6202
(239) 343-4159
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9115636
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113326000
—
FL
Enumeration date
02/08/2022
Last updated
10/17/2024
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