Alexandra Van Dyke

NPI 1881395754 · on the registry since 2023

Practice

Address: 4100 S Ferdon Blvd Ste A1
Crestview, FL 32536
Phone: (850) 682-8388
Organisation at this address: Triple E Ot Inc
Prime Therapy, Inc
Cabana Eyes Optical
Kids Talk Place Llc
Michelle H Stevens Md Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 35

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-03-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida