Provider Demographics
NPI:1154713436
Name:ALEXIS-PIERRE, FLACA
Entity type:Individual
Prefix:MRS
First Name:FLACA
Middle Name:
Last Name:ALEXIS-PIERRE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FLACA
Other - Middle Name:
Other - Last Name:ALEXIS-PIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3141 S MILITARY TRAIL SUITE 201
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463
Mailing Address - Country:US
Mailing Address - Phone:561-633-5003
Mailing Address - Fax:
Practice Address - Street 1:724 SUNNY PINE WAY APT E1
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33415-8992
Practice Address - Country:US
Practice Address - Phone:561-633-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-24
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN