San Diego, Alexander Fernando

San Diego, Alexander Fernando is an individual health care provider with primary practice located at 2404 N Courtenay Pkwy , Merritt Island FL 32953-4191. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. San Diego, Alexander Fernando can be contacted via phone (321) 452-1327.

Contact Information

Primary practice address
2404 N Courtenay Pkwy Merritt Island FL 32953-4191
Phone: (321) 452-1327
Fax: (321) 454-9208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO3686 Florida

Profile Details

NPI number 1053678052
LBN Legal business name San Diego, Alexander Fernando
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2012
Last updated Aug 24th, 2015 - about 11 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 1053678052 NPPES
Other 1053678052 NPI
Other 13574563 NPI

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