Individual
ALEXANDREA VIZZACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2100 W CENTRAL AVE FL 2, TOLEDO, OH 43606-3800
(567) 420-1600
(567) 420-1633
Mailing address
3000 ARLINGTON AVE # MS 1108, TOLEDO, OH 43614-2595
(419) 383-5322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007981
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023592
—
OH
Enumeration date
01/03/2022
Last updated
01/20/2026
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