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Individual

DR. ALEXIS R POWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3003 W DR MARTIN LUTHER KING JR BLVD FL 2, TAMPA, FL 33607
(813) 554-8135
(813) 605-6098
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME116752
FL
2086S0129X
Vascular Surgery Physician
35.126663
OH
2086S0129X
Vascular Surgery Physician
Primary
ME116752
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0139622
OH
05
100347100
FL
Enumeration date
06/30/2008
Last updated
08/16/2018
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