Provider Demographics
NPI:1710772421
Name:URSITTI, ALEXANDER MARC
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:MARC
Last Name:URSITTI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6833 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1134
Mailing Address - Country:US
Mailing Address - Phone:239-470-3822
Mailing Address - Fax:
Practice Address - Street 1:5347 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2520
Practice Address - Country:US
Practice Address - Phone:727-841-0515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty