Individual
ALEX MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5130 LAKE HAVEN BLVD, SEBRING, FL 33875-5649
(863) 381-6315
Mailing address
222 LAKE DRIVE BLVD, SEBRING, FL 33875-5059
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
FL
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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