Organization
ALEXACON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CHASE (DO)
(407) 947-1954
Entity
Organization
Contact information
Practice address
5901 BRICK CT, WINTER PARK, FL 32792-9392
(407) 947-1954
Mailing address
2065 VENETIAN WAY, WINTER PARK, FL 32789-1216
(407) 947-1954
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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