Individual
PHILIPPE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6365 NW REGAL CIR, PORT ST LUCIE, FL 34983-5358
(772) 370-4639
(772) 370-4639
Mailing address
6365 NW REGAL CIR, PORT ST LUCIE, FL 34983-5358
(772) 370-4639
(772) 370-4639
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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