MEDICARE: DR. LINDA LOUISE ALEXANDER DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO 0002222	FL

General Provider Information

NPI Number	:	1154437184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA LOUISE ALEXANDER DPM

Provider Business Mailing Address
First Line	:	2376 FOXHAVEN DR W
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32224-2010
Country	:	US
Telephone Number	:	904-221-3224
Fax Number	:	904-220-0929

Provider Business Practice Location Address
First Line	:	1361 13TH AVE S STE 120
Second Line	:
City	:	JACKSONVILLE BEACH
State	:	FL
Zip	:	32250-3260
Country	:	US
Telephone Number	:	904-241-2655
Fax Number	:	904-249-2425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

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