Alexandre, Theral

Alexandre, Theral is an sole proprietor health care provider with primary practice located at 2295 Victoria Ave 2Nd Floor, Fort Myers FL 33901-3884. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Alexandre, Theral can be contacted via phone (239) 332-9568.

Contact Information

Primary practice address
2295 Victoria Ave 2Nd Floor Fort Myers FL 33901-3884
Phone: (239) 332-9568
Fax: (239) 332-9508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN9317463 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9317463 Florida

Profile Details

NPI number 1811311947
LBN Legal business name Alexandre, Theral
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2014
Last updated Aug 11th, 2016 - about 8 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 1811311947 NPPES
Florida Other RN9317463 FLORIDA HEALTH DEPARTMENT

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