Individual
AVA ALLISON ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1226 CIELO CT, NORTH VENICE, FL 34275-2228
(716) 206-9021
Mailing address
1226 CIELO CT, NORTH VENICE, FL 34275-2228
(716) 206-9021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-06092
NC
363A00000X
Physician Assistant
029434-01
NY
363A00000X
Physician Assistant
50.007854RX
OH
363A00000X
Physician Assistant
Primary
PA9119534
FL
363A00000X
Physician Assistant
TL2281
SC
Other
Enumeration date
03/02/2015
Last updated
02/27/2025
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