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MR. ANTHONY LEE ALEXANDER PA-C
Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1316900269
Individual Registrant:MR. ANTHONY LEE ALEXANDER PA-C
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
96 MEDICAL GROUP, EGLIN AFB 307 BOATNER ROAD, SUITE 114 EGLIN AFB, FL 32542 US
Tel: 850-883-8345 Fax: --
Tel: 850-883-8345 Fax: --
Contact information for business:
PO BOX 30532 PENSACOLA, FL 32503-1532 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1316900269
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical | FL | PA9104664 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
