Provider Demographics
NPI:1366732414
Name:JOSEPH, ALEXANDRA LOUISELIE (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:LOUISELIE
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1370 E VENICE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-9083
Mailing Address - Country:US
Mailing Address - Phone:941-412-0026
Mailing Address - Fax:941-412-0027
Practice Address - Street 1:1370 E VENICE AVE STE 102
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-9083
Practice Address - Country:US
Practice Address - Phone:941-412-0026
Practice Address - Fax:941-412-0027
Is Sole Proprietor?:No
Enumeration Date:2011-04-11
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA071792207R00000X
LAMD.207728207R00000X
FLME121635207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine