MEDICARE: ALEXANDER ELIZABETH WEDMORE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336827328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER ELIZABETH WEDMORE

Provider Business Mailing Address
First Line	:	4245 RIDGEFIELD AVE
Second Line	:
City	:	HOLIDAY
State	:	FL
Zip	:	34691-1650
Country	:	US
Telephone Number	:	727-851-0494
Fax Number	:

Provider Business Practice Location Address
First Line	:	12725 RACE TRACK RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-1314
Country	:	US
Telephone Number	:	813-467-7190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	03/25/2026

Similar Medicare Providers

1902745243 — CARLA GORDON
Practice Location Address:

12725 RACE TRACK RD
TAMPA, FL
33626-1314

Practice Phone: 813-467-7190
Practice Fax:

1669320206 — ZOE MARISSA MOLOS
Practice Location Address:

12725 RACE TRACK RD
TAMPA, FL
33626-1314

Practice Phone: 813-467-7190
Practice Fax:

1114083946 — WESTCHASE PHYSICAL THERAPY AND MEDICAL SUPPLY LLC
Practice Location Address:

12705 RACE TRACK RD
TAMPA, FL
33626-1314

Practice Phone: 813-343-3960
Practice Fax: 813-343-3965

1720454085 — ZACKERY LAYNE BURKHOLDER PTA
Practice Location Address:

12705 RACE TRACK RD
TAMPA, FL
33626-1314

Practice Phone: 813-343-3960
Practice Fax:

1225580376 — CHANDA ALBRITTON
Practice Location Address:

12725 RACE TRACK RD
TAMPA, FL
33626-1314

Practice Phone: 813-467-7190
Practice Fax:

1558813923 — THOMAS JOSEPH SCHULZ JR. BCBA
Practice Location Address:

12725 RACE TRACK RD # 5
TAMPA, FL
33626-1314

Practice Phone: 813-467-7190
Practice Fax: 813-422-6431

Directions to “ ALEXANDER ELIZABETH WEDMORE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.