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Alexander James Dickerson, CAA

Anesthesiologist Assistant in Tampa, FL. Individual provider (NPI-1).

NPI number1104602010
StatusActive
Last updated in NPPESMar 10, 2026

Details

NPI
1104602010
Entity type
Individual (NPI-1)
Name
Alexander James Dickerson
Credential
CAA
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2023
Certification date
Mar 10, 2026
Last updated
Mar 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist AssistantAA827FLYes

Practice location

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Phone 813-350-7244

Mailing address

2995 Drew St
Clearwater, FL 33759-3012

Phone 727-281-9065

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