| Doctor Name: | MRS. ALEXZANDRIA DWAN MAROTTA |
| NPI Number: | 1073895439 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP9356337 |
| Business Practice Address: | 1400 N Us Highway 441 Suite 552 Lady Lake, FL - 321598975 |
| Business Phone Number: | 3527539777 |
| Business Fax Number: | 3527539781 |
| Mailing Address: | 4371 Veronica S Shoemaker Blvd, Attn: Credentialing Dept. FORT MYERS |
| State: | FL |
| Postal Code: | 339162216 |
| Phone Number: | 2392748200 |
| Fax Number: | 2392783350 |
| NPI Enumeration Date: | 09/12/2011 |
| NPI Last Update Date: | 10/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9356337 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |