Provider Demographics
NPI:1689997009
Name:ALEXANDER, ANN WELLINGTON (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:WELLINGTON
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 SW 37TH WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-5106
Mailing Address - Country:US
Mailing Address - Phone:352-246-7112
Mailing Address - Fax:352-373-6008
Practice Address - Street 1:6200 SW 37TH WAY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-5106
Practice Address - Country:US
Practice Address - Phone:352-246-7112
Practice Address - Fax:352-373-6008
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME319702080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics