Alexander Spine and Physical Medicine PA
Organization Active NPI Rehabilitation Chiropractor · Seminole, FL
NPI 1265865604 · NPPES record last updated Feb 19, 2014
Key facts
- NPI
- 1265865604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Chiropractor 111NR0400X
- License
- CH7623 (FL)
- Legal business name
- ALEXANDER SPINE AND PHYSICAL MEDICINE PA
- Practice address
- 10720 Park Blvd Ste a
Seminole, FL 33772-5461 - Phone
- (727) 397-3000
- Fax
- (727) 397-3004
- NPI assigned
- Aug 20, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel W Alexander, DC
- Title
- President
- Phone
- (727) 397-3000
Practitioners 4
-
David M Schumann, P.T.
-
Jody Michael Slone, D.C.
-
Jade Woodruff, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140303000046 | FL | Part B Supplier - Clinic/Group Practice | 3274763776 |
Receives reassigned benefits from 4 practitioners Practice locations: Seminole, FL |
National Provider Directory
Locations
10720 Park Blvd
Ste 103A
Seminole, FL 33772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor |
111NR0400X | CH7623 | FL | Yes |
Addresses
Primary practice location
10720 Park Blvd Ste a
Seminole, FL 33772-5461
Mailing address
10720 Park Blvd Ste a
Seminole, FL 33772-5461
Phone (727) 397-3000
Other providers in Seminole, FL
- Advanced Primary Care and Geriatrics PA
- Alan D. Shoopak D.M.D. ,P.a.
- Albertsons LLC
- Alexander Chiropractic and Physical Therapy LLC
- Alexander Physical Therapy
- All American Family and Geriatric Care PLLC
- All Care Medical Consultants PA
- All Care Medical Consultants PA
- All Care Wellness and Aesthetics, LLC
- Caroline Allbert
All providers in Seminole, FL · Rehabilitation Chiropractor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.