Provider Demographics
NPI:1326778531
Name:CONSTANTAKOS, ALEXA (DO)
Entity type:Individual
Prefix:DR
First Name:ALEXA
Middle Name:
Last Name:CONSTANTAKOS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14826 S MILITARY TRL STE 14826
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8153
Mailing Address - Country:US
Mailing Address - Phone:561-496-5677
Mailing Address - Fax:855-446-4546
Practice Address - Street 1:14826 S MILITARY TRL STE 14826
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8153
Practice Address - Country:US
Practice Address - Phone:561-496-5677
Practice Address - Fax:855-446-4546
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO8340390200000X
FLOS22636207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program