Basic Information
Provider Information
NPI: 1528582681
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALEXANDER
FirstName: DAISY
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: RAMOS
OtherFirstName: DAISY
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: RN
OtherLastNameType: 1
Mailing Information
Address1: 83 W MILLER ST
Address2:  
City: ORLANDO
State: FL
PostalCode: 328062031
CountryCode: US
TelephoneNumber: 3218415281
FaxNumber: 4076489879
Practice Location
Address1: 83 W MILLER ST
Address2:  
City: ORLANDO
State: FL
PostalCode: 32806
CountryCode: US
TelephoneNumber: 3218415281
FaxNumber: 4076489879
Other Information
ProviderEnumerationDate: 07/31/2017
LastUpdateDate: 07/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102XARNP9336829FLY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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