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NPI Code Detail

MEDICARE: DR. ALEJANDRO A RADI M.D.

MEDICARE:  DR. ALEJANDRO A RADI  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
1171W00000XContractorME0025451FL

Other Identifiers

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

General Provider Information

NPI Number : 1821081183
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEJANDRO A RADI M.D.
Provider Business Mailing Address
First Line : 3599 UNIVERSITY BLVD S
Second Line : SUITE 8
City : JACKSONVILLE
State : FL
Zip : 32216-4252
Country : US
Telephone Number : 904-398-7001
Fax Number : 904-398-0780
Provider Business Practice Location Address
First Line : 3599 UNIVERSITY BLVD S
Second Line : SUITE 8
City : JACKSONVILLE
State : FL
Zip : 32216-4252
Country : US
Telephone Number : 904-398-7001
Fax Number : 904-398-0780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 02/12/2010

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Directions to “ DR. ALEJANDRO A RADI M.D.” Practice Location

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