Provider Demographics
NPI:1942326582
Name:ALEXANDER, BRIAN KEITH (DC DOCTOR OF CHIROPR)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:KEITH
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DC DOCTOR OF CHIROPR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 N FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3808
Mailing Address - Country:US
Mailing Address - Phone:813-229-0207
Mailing Address - Fax:
Practice Address - Street 1:1004 N FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3808
Practice Address - Country:US
Practice Address - Phone:813-229-0207
Practice Address - Fax:813-223-5972
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10375111NR0400X, 111NN1001X
OK3470111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation