Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0505X | Family Doctor - Adult Medicine | ME85711 | FL |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | ME85711 | FL |
NPI | 1700849171 |
---|---|
Provider Name | Dr. Alexandra Schneider Owens |
First Address | Clearwater, FL 33757-8744 |
Second Address | Dunedin, FL 34698-5848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 17/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
013601900 | (05) | FL |
147KY | BLUE CROSS (01) | FL |