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NPI Code Detail

MEDICARE: ALEXANDRA THOMAS PA-C

MEDICARE: ALEXANDRA THOMAS PA-C
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
1363A00000XPhysician AssistantPA9109945FL

General Provider Information

NPI Number : 1689121246
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA THOMAS PA-C
Provider Business Mailing Address
First Line : 755 RINEHART RD STE 100
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-4885
Country : US
Telephone Number : 407-320-8100
Fax Number :
Provider Business Practice Location Address
First Line : 755 RINEHART RD STE 100
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-4885
Country : US
Telephone Number : 407-320-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2016
Last Update Date : 06/01/2026

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Directions to “ ALEXANDRA THOMAS PA-C” Practice Location

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