Individual
ALEXIS JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1120 BAYVIEW DR, FORT LAUDERDALE, FL 33304-2505
(954) 951-4552
Mailing address
16447 SW 32ND ST, MIRAMAR, FL 33027-5233
(954) 560-4223
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11022405
FL
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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