Provider Demographics
NPI:1285791681
Name:ALEXANDER, SAUNDRA W
Entity type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:W
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4617 BOUGAINVILLA DR
Mailing Address - Street 2:APT #3
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-3616
Mailing Address - Country:US
Mailing Address - Phone:954-229-6099
Mailing Address - Fax:954-229-7011
Practice Address - Street 1:4617 BOUGAINVILLA DR
Practice Address - Street 2:APT #3
Practice Address - City:LAUDERDALE BY THE SEA
Practice Address - State:FL
Practice Address - Zip Code:33308-3616
Practice Address - Country:US
Practice Address - Phone:954-229-6099
Practice Address - Fax:954-229-7011
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL171WH0202X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered171WH0202XOther Service ProvidersContractorHome Modifications
Not Answered174400000XOther Service ProvidersSpecialist