Provider Demographics
NPI:1255981338
Name:SUMMITT, ALEXANDRA CHRISTINE (DNP)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:CHRISTINE
Last Name:SUMMITT
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:CHRISTINE
Other - Last Name:COAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:144 20TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3410
Mailing Address - Country:US
Mailing Address - Phone:727-479-6206
Mailing Address - Fax:
Practice Address - Street 1:2191 9TH AVE N #100
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713
Practice Address - Country:US
Practice Address - Phone:727-528-0321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-19
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11003347207N00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207N00000XAllopathic & Osteopathic PhysiciansDermatology