Individual ProviderAlexander N McinnisRadiologyAllopathic & Osteopathic PhysiciansPractice Address3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252(904) 399-5550PECOS EnrollmentBased on the most recent information from CMS, provider Alexander N Mcinnis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1912924408Provider TypeIndividualFull NameMcinnis, Alexander NCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/17/2006Last Updated8/22/2017Contact InformationPractice LocationPractice Address3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252Phone(904) 399-5550Fax(904) 346-4334Mailing LocationMailing Address3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252Phone(904) 399-5550Fax(904) 346-4334Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseME39053FloridaProvider IdentifiersIDDescriptionIssuerID00893318ADescriptionMedicaidIssuerUnlistedGeorgiaID061937000DescriptionMedicaidIssuerUnlistedFloridaID15907DescriptionOtherIssuerBCBSFlorida