Fishberg, Alexander

Fishberg, Alexander is an sole proprietor health care provider with primary practice located at 721 W Colonial Dr , Orlando FL 32804-7309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fishberg, Alexander can be contacted via phone (407) 735-6735.

Contact Information

Primary practice address
721 W Colonial Dr Orlando FL 32804-7309
Phone: (407) 735-6735
Fax: (855) 618-2347
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01052422 Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME95364 Florida

Profile Details

NPI number 1225038391
LBN Legal business name Fishberg, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Nov 3rd, 2021 - about 5 years ago

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 1225038391 NPPES
Other 0000000175651 BCBS
Other 10810 BCBS
Other 080168837 BCBS
MEDICAID 200276890A BCBS

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