Healthcare Provider Details

I. General information

NPI: 1558227579
Provider Name (Legal Business Name): ALEXIA WATSON APRN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 TECHNOLOGY PARK SUITE 109
LAKE MARY FL
32746
US

IV. Provider business mailing address

10422 GLEN WILLOW LN
TAMPA FL
33647-3172
US

V. Phone/Fax

Practice location:
  • Phone: 954-234-3851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11044640
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberAPRN11044640
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: