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NPI Code Detail

MEDICARE: ALEXA VERZWYVELT

MEDICARE: ALEXA VERZWYVELT
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
1225XP0200XPediatric Occupational Therapist23280FL

General Provider Information

NPI Number : 1801524780
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA VERZWYVELT
Provider Business Mailing Address
First Line : 1107 1ST ST S APT F
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-6539
Country : US
Telephone Number : 850-362-8244
Fax Number :
Provider Business Practice Location Address
First Line : 2730 ISABELLA BLVD STE 10
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-8002
Country : US
Telephone Number : 904-372-4070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2022
Last Update Date : 03/02/2026

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Directions to “ ALEXA VERZWYVELT ” Practice Location

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