Healthcare Provider Details

I. General information

NPI: 1154103489
Provider Name (Legal Business Name): ALEXANDRA RAE WEINSTEIN APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2023
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7560 RED BUG LAKE RD STE 204B
OVIEDO FL
32765-6591
US

IV. Provider business mailing address

7560 RED BUG LAKE RD STE 204B
OVIEDO FL
32765-6591
US

V. Phone/Fax

Practice location:
  • Phone: 407-366-8856
  • Fax: 407-977-4319
Mailing address:
  • Phone: 407-366-8856
  • Fax: 407-977-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11029286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: