Provider Demographics
NPI:1477153518
Name:WILLIAMS, ALEXANDREA DANIELLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDREA
Middle Name:DANIELLE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17246 NW 173RD DR
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-0060
Mailing Address - Country:US
Mailing Address - Phone:352-792-5002
Mailing Address - Fax:
Practice Address - Street 1:15202 NW 147TH DR STE 1500
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-5337
Practice Address - Country:US
Practice Address - Phone:352-359-3192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor