Provider Demographics
NPI:1699350603
Name:ALCE, SANDY
Entity type:Individual
Prefix:
First Name:SANDY
Middle Name:
Last Name:ALCE
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 1:6027 ADRIATIC WAY
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1086
Mailing Address - Country:US
Mailing Address - Phone:561-704-6696
Mailing Address - Fax:
Practice Address - Street 1:6027 ADRIATIC WAY
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33413-1086
Practice Address - Country:US
Practice Address - Phone:561-704-6696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities