Individual provider · NPI-1
Dr. Alexis Buckley, M.D.
Surgery, Plastic and Reconstructive Surgery · Hollywood, FL
NPI number1447633292
StatusActive
Last updated in NPPESAug 19, 2025
Details
- NPI
- 1447633292
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexis Buckley
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2015
- Certification date
- Aug 19, 2025
- Last updated
- Aug 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | ME175099 | FL | Yes |
Practice location
1201 N 35th Ave Ste 200Hollywood, FL 33021-5434
Phone 954-987-8100
Mailing address
9350 The Resort Pkwy Unit 5811Rancho Cucamonga, CA 91730-9245
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