Provider Demographics
NPI:1033680442
Name:ALEXANDER, BELINDA
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 590986
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33359-0986
Mailing Address - Country:US
Mailing Address - Phone:954-909-6341
Mailing Address - Fax:877-281-8631
Practice Address - Street 1:1740 S STATE ROAD 7 APT 204
Practice Address - Street 2:
Practice Address - City:N LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33068-4655
Practice Address - Country:US
Practice Address - Phone:954-909-6341
Practice Address - Fax:877-281-8631
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL022743700171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty