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Contact Information

ALEXIS K AVERSA, DPM
6021 142ND AVE N
CLEARWATER, FL33760-2822
 Phone: 727-796-6900
 Fax: 727-669-8417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ALEXIS K AVERSA · (Female)

NPI Number 1316327935
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/09/2015
Last updated 05/21/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PO3987
  • FL Medicaid 100905400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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