Provider Demographics
NPI:1548692148
Name:ALEXANDER, ERIC T (DPT, OCS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:T
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 BISCAYNE BLVD APT 3512
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33132-1568
Mailing Address - Country:US
Mailing Address - Phone:305-602-3105
Mailing Address - Fax:
Practice Address - Street 1:1825 WEST AVE UNIT 7
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-1441
Practice Address - Country:US
Practice Address - Phone:305-602-3105
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-06
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011073225100000X
FLPT 30437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist