Provider Demographics
NPI:1801409537
Name:TOSCANO, ALEXA ROSE
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:ROSE
Last Name:TOSCANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7124 PARKSIDE VILLAS DR N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-1378
Mailing Address - Country:US
Mailing Address - Phone:727-418-1821
Mailing Address - Fax:
Practice Address - Street 1:7124 PARKSIDE VILLAS DR N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33709-1378
Practice Address - Country:US
Practice Address - Phone:727-418-1821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty