Individual
ALEXA SUGHROUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
653-1 W 8TH STREET, 4TH FLOOR, LRC BOX L15, JACKSONVILLE, FL 32209
(904) 244-3817
Mailing address
653-1 W 8TH ST FL 4, JACKSONVILLE, FL 32209-6511
(904) 244-3817
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036169282
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2021
Last updated
06/05/2024
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