MEDICARE: ALEXUS BLACK

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	363LF0000X	Family Nurse Practitioner	APRN11012613	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	:	1538741343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXUS BLACK

Provider Business Mailing Address
First Line	:	PO BOX 102222
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2222
Country	:	US
Telephone Number	:	239-274-8200
Fax Number	:

Provider Business Practice Location Address
First Line	:	8787 BRYAN DAIRY RD STE 210
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33777-1253
Country	:	US
Telephone Number	:	727-397-9641
Fax Number	:	727-393-4194

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

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	03/04/2026

Similar Medicare Providers

1316936347 — HEATHER D BLANCHETTE APRN
Practice Location Address:

8787 BRYAN DAIRY RD STE 210
LARGO, FL
33777-1253

Practice Phone: 727-397-9641
Practice Fax: 727-393-4194

1922486844 — MADELINE WATERS ARNP
Practice Location Address:

8787 BRYAN DAIRY RD STE 210
LARGO, FL
33777-1253

Practice Phone: 727-397-9641
Practice Fax: 727-393-4194

1376410316 — BRITTANY GONSER APRN
Practice Location Address:

8787 BRYAN DAIRY RD STE 210
LARGO, FL
33777-1253

Practice Phone: 727-397-9641
Practice Fax: 727-393-4194

1306899018 — DR. LAURA ELIZABETH ARLINE MD
Practice Location Address:

8787 BRYAN DAIRY ROAD , SUITE 275
LARGO, FL
33777-1260

Practice Phone: 727-394-5650
Practice Fax: 813-635-7939

1063417285 — LARGO ENDOSCOPY CENTER LP
Practice Location Address:

7300 BRYAN DAIRY ROAD , SUITE 495
LARGO, FL
33777

Practice Phone: 727-451-6780
Practice Fax: 727-451-6799

1275538837 — MARGARET M LAUKAITIS MD
Practice Location Address:

8839 BRYAN DAIRY RD STE 115
LARGO, FL
33777-1207

Practice Phone: 727-398-7701
Practice Fax: 727-447-4827

Directions to “ ALEXUS BLACK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.