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NPI Code Detail

MEDICARE: DR. ALEXIS LIPTON

MEDICARE:  DR. ALEXIS  LIPTON
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
1207V00000XObstetrics & Gynecology PhysicianME111774FL

General Provider Information

NPI Number : 1881845410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXIS LIPTON
Provider Business Mailing Address
First Line : 105 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-3910
Country : US
Telephone Number : 407-841-5297
Fax Number : 407-481-0182
Provider Business Practice Location Address
First Line : 10011 SEMINOLE BLVD
Second Line :
City : SEMINOLE
State : FL
Zip : 33772-2539
Country : US
Telephone Number : 727-393-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 03/12/2019

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Directions to “ DR. ALEXIS LIPTON ” Practice Location

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