Brandimore, Alexandra

Brandimore, Alexandra is an individual health care provider with primary practice located at 4202 E Fowler Ave Stop Pcd1017 , Tampa FL 33620-7250. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brandimore, Alexandra can be contacted via phone (813) 974-9844.

Contact Information

Primary practice address
4202 E Fowler Ave Stop Pcd1017 Tampa FL 33620-7250
Phone: (813) 974-9844
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA12180 Florida

Profile Details

NPI number 1932637832
LBN Legal business name Brandimore, Alexandra
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2017
Last updated Dec 22nd, 2017 - about 9 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 1932637832 NPPES
Florida Other LUR54 BLUE CROSS BLUE SHIELD
Florida MEDICAID 021187300 BLUE CROSS BLUE SHIELD

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