MEDICARE: MRS. CHARITA K ALEXANDER CNA

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	374U00000X	Home Health Aide		FL
2	374U00000X	Home Health Aide	84884	FL

General Provider Information

NPI Number	:	1891376026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARITA K ALEXANDER CNA

Provider Business Mailing Address
First Line	:	807 LEXINGTON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-4433
Country	:	US
Telephone Number	:	813-400-6586
Fax Number	:

Provider Business Practice Location Address
First Line	:	807 LEXINGTON BLVD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33612-4433
Country	:	US
Telephone Number	:	813-400-6586
Fax Number	:

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

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	04/19/2021

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