MEDICARE: DR. MARIE JOCELYNE NICOLAS ALEXANDRE MD

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	208000000X	Pediatrics Physician	ME0066935	FL

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
2	C60268	OTHER	FL	UPIN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598830374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE JOCELYNE NICOLAS ALEXANDRE MD

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DR STE 365
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-7010
Country	:	US
Telephone Number	:	786-322-7333
Fax Number	:	786-322-7329

Provider Business Practice Location Address
First Line	:	12376 QUAIL ROOST DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-4974
Country	:	US
Telephone Number	:	786-623-0994
Fax Number	:	786-430-8197

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

Provider Enumeration Date	:	11/21/2006
Last Update Date	:	03/10/2021

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