Healthcare Provider Details

I. General information

NPI: 1588530349
Provider Name (Legal Business Name): ALEXANDRA ESPOSITO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20340 NE 10TH COURT RD
MIAMI FL
33179-2522
US

IV. Provider business mailing address

20340 NE 10TH COURT RD
MIAMI FL
33179-2522
US

V. Phone/Fax

Practice location:
  • Phone: 954-934-3395
  • Fax:
Mailing address:
  • Phone: 954-934-3395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: