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NPI Code Detail

MEDICARE: ALEXA OWENS DO

MEDICARE: ALEXA OWENS DO
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
1207Q00000XFamily Medicine PhysicianOS20201FL

General Provider Information

NPI Number : 1376122648
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA OWENS DO
Provider Business Mailing Address
First Line : 2420 W MISSISSIPPI AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-6110
Country : US
Telephone Number : 813-350-9090
Fax Number :
Provider Business Practice Location Address
First Line : 2420 W MISSISSIPPI AVE
Second Line :
City : TAMPA
State : FL
Zip : 33629-6110
Country : US
Telephone Number : 813-350-9090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 06/26/2024

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Directions to “ ALEXA OWENS DO” Practice Location

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