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NPI Code Detail

MEDICARE: ALEXANDRA SHAE HARBIN

MEDICARE:   ALEXANDRA SHAE HARBIN
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
1363A00000XPhysician AssistantPA9120812FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285506139
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA SHAE HARBIN
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-1614
Fax Number : 239-343-3695
Provider Business Practice Location Address
First Line : 13681 DOCTORS WAY
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4300
Country : US
Telephone Number : 239-481-4111
Fax Number : 239-343-6143
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2025
Last Update Date : 12/10/2025

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Directions to “ ALEXANDRA SHAE HARBIN ” Practice Location

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