Provider Demographics
NPI:1457945461
Name:KEYS, ALEXIS B (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:B
Last Name:KEYS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:12901 BRUCE B DOWNS BLVD # BLVD5
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-4742
Mailing Address - Country:US
Mailing Address - Phone:813-974-8926
Mailing Address - Fax:813-905-9860
Practice Address - Street 1:12901 BRUCE B DOWNS BLVD # BLVD5
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-4742
Practice Address - Country:US
Practice Address - Phone:813-974-8926
Practice Address - Fax:813-905-9860
Is Sole Proprietor?:No
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant