Agostini-Miranda, Alex Alexander

Agostini-Miranda, Alex Alexander is an sole proprietor health care provider with primary practice located at 2101 Elm St N , Fargo ND 58102-2417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Agostini-Miranda, Alex Alexander can be contacted via phone (701) 232-3241.

Contact Information

Primary practice address
2101 Elm St N Fargo ND 58102-2417
Fax:
Website:

Profile Details

NPI number 1104815117
LBN Legal business name Agostini-Miranda, Alex Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Apr 25th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104815117 NPPES
Florida MEDICAID 275224700

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