Healthcare Provider Details

I. General information

NPI: 1649186388
Provider Name (Legal Business Name): ALEXA HOLLY STAHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ATLANTIC CARE SERVICES
WINTER PARK FL
32792
US

IV. Provider business mailing address

10430 BIG TREE CT
ORLANDO FL
32836-5944
US

V. Phone/Fax

Practice location:
  • Phone: 407-270-5501
  • Fax:
Mailing address:
  • Phone: 407-664-9266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number9629294
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: