Healthcare Provider Details

I. General information

NPI: 1285549261
Provider Name (Legal Business Name): ALEXIS RUBEN ORTIZ NUNEZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 BAY PINES BLVD
BAY PINES FL
33744-8200
US

IV. Provider business mailing address

4601 22ND AVE S APT 202
SAINT PETERSBURG FL
33711-2946
US

V. Phone/Fax

Practice location:
  • Phone: 727-398-6661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16096
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: