MEDICARE: DR. ALEXANDER JAMES BYRNE M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME59876	FL
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME59876	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649275652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER JAMES BYRNE M.D

Provider Business Mailing Address
First Line	:	3301 DIAMOND KEY CT
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33955-4656
Country	:	US
Telephone Number	:	941-575-8046
Fax Number	:	941-575-7159

Provider Business Practice Location Address
First Line	:	514 E GRACE ST
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-6121
Country	:	US
Telephone Number	:	941-639-1181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	05/26/2009

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