Healthcare Provider Details

I. General information

NPI: 1477014470
Provider Name (Legal Business Name): ALEXANDRA LYN MARCELLI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2019
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 SE 16TH AVE
OCALA FL
34471-4656
US

IV. Provider business mailing address

4500 NEWBERRY RD
GAINESVILLE FL
32607-2245
US

V. Phone/Fax

Practice location:
  • Phone: 352-336-6000
  • Fax: 352-336-6071
Mailing address:
  • Phone: 352-336-6000
  • Fax: 352-336-6071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberOS24293
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS24293
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: