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Individual

MR. ALEXANDER STEPHENS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
6547 KENAVA LOOP, PALMETTO, FL 34221-2595
(941) 218-0175
Mailing address
6547 KENAVA LOOP, PALMETTO, FL 34221
(856) 899-9910

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9487142
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11022517
FL

Other

Enumeration date
10/07/2021
Last updated
03/08/2023
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