Luis, Alejandro Jose

Luis, Alejandro Jose is an individual health care provider with primary practice located at 1703 Lewis Turner Blvd , Fort Walton Beach FL 32547-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Luis, Alejandro Jose can be contacted via phone (850) 864-4033.

Contact Information

Primary practice address
1703 Lewis Turner Blvd Fort Walton Beach FL 32547-1221
Phone: (850) 864-4033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X LL 29082 South Carolina

Profile Details

NPI number 1700087251
LBN Legal business name Luis, Alejandro Jose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Oct 1st, 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 1700087251 NPPES
Tennessee MEDICAID 1530217
Tennessee MEDICAID 290820

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