Alexander, Doris Jean Wagenman

Alexander, Doris Jean Wagenman is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alexander, Doris Jean Wagenman can be contacted via phone (352) 334-1400.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3003
Phone: (352) 334-1400
Fax: (352) 334-1348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0950692 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP950692 Florida

Profile Details

NPI number 1215910195
LBN Legal business name Alexander, Doris Jean Wagenman
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jan 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215910195 NPPES
Florida MEDICAID 301482700

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