Healthcare Provider Details

I. General information

NPI: 1851234959
Provider Name (Legal Business Name): KAYLA ALEXANDRA FRANCOISE ALEXIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

703 N FLAMINGO RD FL 33028
PEMBROKE PINES FL
33028-1006
US

IV. Provider business mailing address

7914 GLEASON DR APT 1080
KNOXVILLE TN
37919-3913
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-4463
  • Fax:
Mailing address:
  • Phone:
  • 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: