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JEAN ALIX DESROSIERS PA
NPI 1790590693
Physician Assistant - Medical in North Lauderdale, FL

Active since February 10, 2025
6704 RIO PINAR, NORTH LAUDERDALE, FL 33068(954) 665-0142 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 25, 2026, Feb 10, 2025 (2 updates tracked since 2025).

About Jean Alix Desrosiers Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN ALIX DESROSIERS PA (NPI 1790590693) is an individual medical provider in North Lauderdale, Florida, licensed in Puerto Rico (002270-P.A.) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1790590693
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJEAN ALIX DESROSIERSCredential: PA
Location Address6704 RIO PINARNorth Lauderdale, FL 33068-3840
Mailing Address6704 Rio PinarNorth Lauderdale, FL 33068-3840 · (954) 665-0142
Phone(954) 665-0142
Sole ProprietorYes
Enumeration DateFebruary 10, 2025
Last NPPES UpdateMarch 25, 20262 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1790590693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PR · 002270-P.A.
6704 RIO PINAR, North Lauderdale, FL 33068
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Alix Desrosiers's NPI number?

The NPI number for Jean Alix Desrosiers is 1790590693. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Jean Alix Desrosiers located?

Jean Alix Desrosiers practices at 6704 Rio Pinar, North Lauderdale, FL 33068. The listed phone number is (954) 665-0142.

What is Jean Alix Desrosiers's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jean Alix Desrosiers was last updated on March 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.