Provider Demographics
NPI:1700849171
Name:OWENS, ALEXANDRA SCHNEIDER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:SCHNEIDER
Last Name:OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALEXANDRA
Other - Middle Name:S
Other - Last Name:EMBRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4211 VAN DYKE RD
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-8005
Mailing Address - Country:US
Mailing Address - Phone:813-443-7522
Mailing Address - Fax:813-870-4390
Practice Address - Street 1:4211 VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-8005
Practice Address - Country:US
Practice Address - Phone:813-443-7522
Practice Address - Fax:813-870-4390
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85711207QA0505X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL147KYOtherBLUE CROSS
FL013601900Medicaid
FL147KYOtherBLUE CROSS
FL013601900Medicaid
FLBQ680UMedicare PIN