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General NPI Number Information
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NPI Number | 1144479817
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Entity Type | Individual
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Provider Name | CARLOS ALEJO M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1713 US HIGHWAY 441 N STE H
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1900
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Country | US
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Telephone | 863-357-0540
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Fax | 863-357-0546
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Provider Business Mailing Address
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Address Line | 1713 US HIGHWAY 441 N STE H
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City | OKEECHOBEE
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State | FL
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Zip | 34972-1900
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Country | US
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Telephone | 863-357-0540
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Fax | 863-357-0546
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | TL31509
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME102849
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License Number State | FL
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