Individual
ALEXANDER MAZEKINA TAIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 NW 70TH AVE STE 205, PLANTATION, FL 33317-2367
(954) 321-5428
(954) 583-0660
Mailing address
300 NW 70TH AVE STE 205, PLANTATION, FL 33317-2367
(954) 321-5428
(954) 583-0660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9385407
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN9385407
APRN
FL
Enumeration date
01/18/2016
Last updated
09/05/2019
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