Healthcare Provider Details

I. General information

NPI: 1902832462
Provider Name (Legal Business Name): G ALEXANDER CARDEN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR SUITE 7900
WEST PALM BEACH FL
33401-3404
US

IV. Provider business mailing address

1411 N FLAGLER DR SUITE 7900
WEST PALM BEACH FL
33401-3404
US

V. Phone/Fax

Practice location:
  • Phone: 561-655-8448
  • Fax: 561-655-2844
Mailing address:
  • Phone: 561-655-8448
  • Fax: 561-655-2844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME 38022
License Number StateFL

VIII. Authorized Official

Name: GEORGE A CARDEN
Title or Position: OWNER
Credential: M.D.
Phone: 561-655-8448