Provider Demographics
NPI:1609828060
Name:ALEXANDER, MARCA S (MD)
Entity type:Individual
Prefix:
First Name:MARCA
Middle Name:S
Last Name:ALEXANDER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MARCA
Other - Middle Name:L
Other - Last Name:SIPSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1001 NW 13TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2269
Mailing Address - Country:US
Mailing Address - Phone:561-955-6663
Mailing Address - Fax:561-955-2879
Practice Address - Street 1:2815 S SEACREST BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-7969
Practice Address - Country:US
Practice Address - Phone:561-737-7733
Practice Address - Fax:833-625-1606
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME83004208100000X, 208100000X
AL27273208100000X
LA323594208VP0000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
10721261OtherCAQH
E13326Medicare UPIN