Individual
ALEXA BLECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 W SAINT ISABEL ST, TAMPA, FL 33607-6318
(813) 874-5707
Mailing address
2502 W SAINT ISABEL ST, TAMPA, FL 33607-6318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2021
Last updated
03/09/2026
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