Individual
ALEXA MAGLIULO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1995 E OAKLAND PARK BLVD STE 310, FORT LAUDERDALE, FL 33306-1138
(954) 791-6146
(954) 337-2733
Mailing address
PO BOX 936535, ATLANTA, GA 31193-6535
(954) 791-6146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9115194
FL
Other
Enumeration date
04/23/2020
Last updated
10/28/2022
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