Provider Demographics
NPI:1821161480
Name:ALEXANDER, STEPHEN LLOYD SR (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LLOYD
Last Name:ALEXANDER
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 NE 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5600
Mailing Address - Country:US
Mailing Address - Phone:561-266-2007
Mailing Address - Fax:561-266-9955
Practice Address - Street 1:504 NE 5TH AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-5600
Practice Address - Country:US
Practice Address - Phone:561-266-2007
Practice Address - Fax:561-266-9955
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55624Medicare ID - Type Unspecified