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NPI Code Detail

MEDICARE: BRIAN RICHARD ALEXANDER PA-C

MEDICARE:   BRIAN RICHARD ALEXANDER  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 AssistantPA9115238FL
2363A00000XPhysician Assistant1102022

General Provider Information

NPI Number : 1902235443
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN RICHARD ALEXANDER PA-C
Provider Business Mailing Address
First Line : 13800 VETERANS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13800 VETERANS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7401
Country : US
Telephone Number : 407-631-0100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 05/20/2026

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Directions to “ BRIAN RICHARD ALEXANDER PA-C” Practice Location

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