MEDICARE: DR. ALEXANDRA CARESSE GAMRET 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	207ND0101X	MOHS-Micrographic Surgery Physician	ME173841	FL

General Provider Information

NPI Number	:	1912526039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA CARESSE GAMRET MD

Provider Business Mailing Address
First Line	:	600 HERITAGE DR STE 101
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-3098
Country	:	US
Telephone Number	:	561-296-5222
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HERITAGE DR STE 101
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-3098
Country	:	US
Telephone Number	:	561-296-5222
Fax Number	:	561-296-5221

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

Provider Enumeration Date	:	04/09/2020
Last Update Date	:	02/03/2026

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