Healthcare Provider Details

I. General information

NPI: 1720918691
Provider Name (Legal Business Name): ALEXIS WEST DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 N MAGNOLIA AVE STE 202
ORLANDO FL
32803-3220
US

IV. Provider business mailing address

924 N MAGNOLIA AVE STE 202
ORLANDO FL
32803-3220
US

V. Phone/Fax

Practice location:
  • Phone: 541-810-3033
  • Fax:
Mailing address:
  • Phone: 541-810-3033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number15910
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: