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NPI Code Detail

MEDICARE: ALEJANDRO A INCLAN MD

MEDICARE: ALEJANDRO A INCLAN MD
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
1207RH0003XHematology & Oncology Physician0059983FL
2207RH0003XHematology & Oncology Physician16738AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
212356WOTHERFLMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
412356OTHERFLBCBS

General Provider Information

NPI Number : 1023003456
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO A INCLAN MD
Provider Business Mailing Address
First Line : 4724 N DAVIS HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2339
Country : US
Telephone Number : 850-696-4000
Fax Number : 850-444-7057
Provider Business Practice Location Address
First Line : 4724 N DAVIS HWY
Second Line :
City : PENSACOLA
State : FL
Zip : 32503-2339
Country : US
Telephone Number : 850-696-4000
Fax Number : 850-444-7057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 12/02/2014

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Directions to “ ALEJANDRO A INCLAN MD” Practice Location

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