IndividualActive
Alexandra Pack, PA-C
NPI 1164905196 · Physician Assistant · New Port Richey, FL
Provider details
- NPI number
- 1164905196
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9111662 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
8209 State Road 54
New Port Richey, FL 34655-3016
Phone: (866) 400-3376
Fax: (727) 569-1505
Approximate (ZIP-level) locationGet directions
Mailing address
151 Southhall Ln Ste 300
Maitland, FL 32751-7172
Registry dates
- Enumerated
- 2018-09-14
- Last updated
- 2024-03-12
- Certified
- 2024-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.