Provider Demographics
NPI:1912701160
Name:ALEXANDRA, FELICIA
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:ALEXANDRA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 TROUT ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-8209
Mailing Address - Country:US
Mailing Address - Phone:407-490-9558
Mailing Address - Fax:
Practice Address - Street 1:6920 TROUT ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-8209
Practice Address - Country:US
Practice Address - Phone:407-490-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA120667376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide