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NPI Code Detail

MEDICARE: ALEXIS AULISIO NP-C

MEDICARE: ALEXIS AULISIO NP-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
1363LF0000XFamily Nurse PractitionerRN2270145MA
2363LF0000XFamily Nurse Practitioner9472988FL

General Provider Information

NPI Number : 1720326572
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS AULISIO NP-C
Provider Business Mailing Address
First Line : 905 BEACH BLVD STE A
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-4303
Country : US
Telephone Number : 904-241-8300
Fax Number : 904-241-0831
Provider Business Practice Location Address
First Line : 905 BEACH BLVD STE A
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-4303
Country : US
Telephone Number : 42-418-3009
Fax Number : 904-241-0831
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 09/28/2021

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