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NPI Code Detail

MEDICARE: ALEX LEE HINDERSCHEID APRN, PMHNP-BC

MEDICARE:   ALEX LEE HINDERSCHEID  APRN, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11039895FL

General Provider Information

NPI Number : 1417840927
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX LEE HINDERSCHEID APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 3606 ARLINGTON OAKS CT
Second Line :
City : TAMPA
State : FL
Zip : 33618-2002
Country : US
Telephone Number : 813-394-7697
Fax Number :
Provider Business Practice Location Address
First Line : 7807 BAYMEADOWS RD E STE 402
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-9668
Country : US
Telephone Number : 904-799-2800
Fax Number : 904-293-1355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2025
Last Update Date : 06/03/2025

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