MEDICARE: MONIFA S ALEXANDER C.R.N.A.

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	367500000X	Certified Registered Nurse Anesthetist	APRN9187434	FL

General Provider Information

NPI Number	:	1801110192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIFA S ALEXANDER C.R.N.A.

Provider Business Mailing Address
First Line	:	PO BOX 816759
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33081-0759
Country	:	US
Telephone Number	:	954-964-2450
Fax Number	:	954-964-6084

Provider Business Practice Location Address
First Line	:	2801 NW 79TH AVE DEPT OF
Second Line	:
City	:	DORAL
State	:	FL
Zip	:	33122-1174
Country	:	US
Telephone Number	:	784-466-1000
Fax Number	:

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

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	10/20/2023

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