Provider Demographics
NPI:1801428446
Name:AGUIAR, ALEXANDER (APRN, CNM)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:AGUIAR
Suffix:
Gender:M
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:AGUIAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, CNM
Mailing Address - Street 1:8000 RED BUG LAKE RD STE 260
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9267
Mailing Address - Country:US
Mailing Address - Phone:407-821-3699
Mailing Address - Fax:
Practice Address - Street 1:8000 RED BUG LAKE RD STE 260
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9267
Practice Address - Country:US
Practice Address - Phone:407-821-3699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9308331163WX0003X
FLAPRN11007203363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Single Specialty
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, InpatientGroup - Single Specialty