Justicz, Alexander G

Justicz, Alexander G is an individual health care provider with primary practice located at 4725 N Federal Hwy , Fort Lauderdale FL 33308-4603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Justicz, Alexander G can be contacted via phone (954) 267-6770.

Contact Information

Primary practice address
4725 N Federal Hwy Fort Lauderdale FL 33308-4603
Phone: (954) 267-6770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 031040 Georgia

Profile Details

NPI number 1265497473
LBN Legal business name Justicz, Alexander G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 3rd, 2024 - about 2 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 1265497473 NPPES
Georgia Other 572542 BCBS EDI
Georgia MEDICAID 00661548A BCBS EDI
Georgia Other 330003473 BCBS EDI

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