MEDICARE: DANICA ALEXANDER D.O.

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	207Q00000X	Family Medicine Physician	OS9292	FL
2	207N00000X	Dermatology Physician	OS9292	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1508088980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANICA ALEXANDER D.O.

Provider Business Mailing Address
First Line	:	900 VILLAGE SQUARE XING STE 290
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-4552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7605 CONROY WINDERMERE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-2646
Country	:	US
Telephone Number	:	321-732-8149
Fax Number	:	407-613-5915

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	01/05/2024

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