| Alexandra Crossman Md Pa | |
|
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 | |
| (386) 589-5741 | |
| Not Available |
| Full Name | Alexandra Crossman Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 N Clyde Morris Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Alexandra Akkuratova Crossman (OWNER) |
| Authorized Official Contact | 3865895741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandra Crossman Md Pa Po Box 1495 Ormond Beach FL 32175-1495 Ph: (386) 589-5741 | Alexandra Crossman Md Pa 303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 Ph: (386) 589-5741 |
| NPI Number | 1023206745 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 07/25/2019 |
| Medicare PECOS PAC ID | 6800839747 |
|---|---|
| Medicare Enrollment ID | O20050602000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023206745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Alexandra A Crossman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023059862 PECOS PAC ID: 2163465006 Enrollment ID: I20050603000032 |
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