DR. ALEXANDRA MARIE MENILLO (NPI# 1770016636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770016636 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA MARIE MENILLO |
| Credential | D.O. |
| Practice Address |
9679 Bay Harbor Cir Apt 203 Fort Myers FL 33919-5723 |
| Practice Telephone | 2019837744 |
| Mailing Telephone | 2019837744 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | FL | Student, Health Care |
| Street Address |
9679 BAY HARBOR CIR APT 203 |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33919-5723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073145942 | Patricia June Briand | Registered Nurse | 4309 Mariner Way #307, Fort Myers, FL 33919 | 2020-02-10 |
| 1629556840 | The Onyx Counseling Center, LLC | Social Worker | 6361 Presidential Ct Ste 101, Fort Myers, FL 33919 | 2018-07-31 |
| 1366980187 | My Precious Kids Therapy Center Inc | Community/Behavioral Health | 4755 Summerlin Road, Suite #4, Fort Myers, FL 33919 | 2017-02-01 |
| 1811342397 | Kimberly Regenesis | Substance Abuse Rehabilitation Facility | 8695 College Parkway, Suite 2080, Ft Myers, FL 33919 | 2016-05-03 |
| 1689030207 | Balance for All, Inc. | Acupuncturist | 6238 Presidential Ct., Ste 6, Fort Myers, FL 33919 | 2016-01-12 |
| 1902275217 | Kelly Jean Overton | Physical Therapist | 6341 Whiskey Creek Drive, Fort Myers, FL 33919 | 2015-09-16 |
| 1508125311 | Charles Clark Dugan IIi | Chiropractor | 6309 Corporate Court, Suite 110, Fort Myers, FL 33919 | 2012-05-14 |
| 1659641231 | Dasha Bich Le | Pharmacist | 9629 Bay Harbor Cir., Apt. 201, Fort Myers, FL 33919 | 2012-01-12 |
| 1164792602 | Gail Lee Rathbun | Nurse Practitioner | 6311 S. Pointe Blvd., Fort Meyers, FL 33919 | 2011-12-30 |
| 1871878173 | Scott Kozlowski | Behavioral Analyst | 5335 Shalley Cir., Ft. Myers, FL 33919 | 2011-10-18 |
| Find all providers in zip 33919 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213833 | Seemal Sanjana Kumar | Student in an Organized Health Care Education/Training Program | 3000 Oasis Grand Blvd Apt 903, Fort Myers, FL 33916-1599 | 2020-04-09 |
| 1548898703 | Alejandro Garcia | Student in an Organized Health Care Education/Training Program | 5553 Whispering Willow Way, Fort Myers, FL 33908-4511 | 2020-03-31 |
| 1134780646 | Ximena Hurtado | Student in an Organized Health Care Education/Training Program | 17391 Sterling Lake Dr, Fort Myers, FL 33967-7221 | 2019-06-25 |
| 1790341030 | Alaina Terez Todd | Student in an Organized Health Care Education/Training Program | 17007 Wrigley Cir, Fort Myers, FL 33908-3802 | 2019-05-13 |
| 1811450240 | Ana Carolina D Barbosa | Student in an Organized Health Care Education/Training Program | 8960 Dorchester St, Fort Myers, FL 33907-5911 | 2019-04-11 |
| 1811459399 | Kelly Christine Reynolds | Student in an Organized Health Care Education/Training Program | 11750 Rosemount Drive, Fort Myers, FL 33913 | 2019-04-03 |
| 1275068769 | Maia Dunn | Student in an Organized Health Care Education/Training Program | 9673 Bay Harbor Cir, Apt 204, Fort Myers, FL 33919-5721 | 2017-04-21 |
| 1841676590 | Gary Pham | Student in an Organized Health Care Education/Training Program | 1741 Red Cedar Drive Apt 20, Fort Myers, FL 33907 | 2015-08-05 |
| 1477153229 | Evalenee Marie Feutz | Student in an Organized Health Care Education/Training Program | 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 | 2020-10-30 |
| 1508474370 | Tierney Regan Bottino | Student in an Organized Health Care Education/Training Program | 3650 Colonial Ct, Fort Myers, FL 33913-6636 | 2020-07-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33919 |
Please comment or provide details below to improve the information on DR. ALEXANDRA MARIE MENILLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.