Koeltzow, Alexandra Dominique

Koeltzow, Alexandra Dominique is an sole proprietor health care provider with primary practice located at 9400 Turkey Lake Rd # Mp453 , Orlando FL 32819-8001. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Koeltzow, Alexandra Dominique can be contacted via phone (321) 842-2655.

Contact Information

Primary practice address
9400 Turkey Lake Rd # Mp453 Orlando FL 32819-8001
Phone: (321) 842-2655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X RN9390112 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11003194 Florida

Profile Details

NPI number 1205498078
LBN Legal business name Koeltzow, Alexandra Dominique
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 2nd, 2019
Last updated Jan 28th, 2020 - about 4 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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