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Individual

ALEXIS CHLOE RONALDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
210 LOOKOUT PL, MAITLAND, FL 32751-4491
(407) 215-0400
Mailing address
116 TOMOKA TRL, LONGWOOD, FL 32779-4949
(407) 435-0711

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9463963
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11022163
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN11022163
LICENSE NUMBER
FL
Enumeration date
11/22/2019
Last updated
11/02/2022
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