Individual
ALEXANDER MICHAEL NACKASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 548-6000
Mailing address
1601 S.W. ARCHER ROAD, GAINESVILLE, FL 32608-1197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106892
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007143900
—
FL
01
—
1063462000
VAMC
FL
Enumeration date
10/08/2012
Last updated
12/11/2023
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