Provider Demographics
NPI:1427161066
Name:WILLIAMS, ALEXANDRA DULOUT (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:DULOUT
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1843 FLOYD STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2937
Mailing Address - Country:US
Mailing Address - Phone:941-951-3920
Mailing Address - Fax:941-951-3922
Practice Address - Street 1:1843 FLOYD STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2937
Practice Address - Country:US
Practice Address - Phone:941-951-3920
Practice Address - Fax:941-951-3922
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83480207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH77998Medicare UPIN
FLU0011AMedicare ID - Type Unspecified