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NPI Code Detail

MEDICARE: MARC A ALESSANDRONI PA-C

MEDICARE: MARC A ALESSANDRONI PA-C
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 AssistantPA9103686FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y06HAOTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508819897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC A ALESSANDRONI PA-C
Provider Business Mailing Address
First Line : 5400 PINEHURST DR
Second Line :
City : SPRING HILL
State : FL
Zip : 34606-3833
Country : US
Telephone Number : 352-277-5305
Fax Number : 352-616-0926
Provider Business Practice Location Address
First Line : 13235 STATE ROAD 52 STE 102
Second Line :
City : HUDSON
State : FL
Zip : 34669-2968
Country : US
Telephone Number : 727-378-8503
Fax Number : 727-857-7807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 10/14/2022

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Directions to “ MARC A ALESSANDRONI PA-C” Practice Location

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