Healthcare Provider Details

I. General information

NPI: 1801844733
Provider Name (Legal Business Name): ALAN M FISCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 10/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9980 CENTRAL PARK BLVD N SUITE 320
BOCA RATON FL
33428-1762
US

IV. Provider business mailing address

9980 CENTRAL PARK BLVD N SUITE 320
BOCA RATON FL
33428-1762
US

V. Phone/Fax

Practice location:
  • Phone: 561-488-2900
  • Fax: 561-487-9724
Mailing address:
  • Phone: 561-488-2900
  • Fax: 561-487-9724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License NumberME43364
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: