Healthcare Provider Details

I. General information

NPI: 1003758343
Provider Name (Legal Business Name): ALEXANDRA ABREU-ESPOSITO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PINELLAS ST
CLEARWATER FL
33756-3804
US

IV. Provider business mailing address

3125 GRAND AVE APT 305
PINELLAS PARK FL
33782-6112
US

V. Phone/Fax

Practice location:
  • Phone: 727-447-7175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9121785
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: