MEDICARE: DR. ALEJANDRO GUSTAVO BIGLIONE 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
1	207R00000X	Internal Medicine Physician	L3922	TX
2	208M00000X	Hospitalist Physician	ME 78592	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1366430274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEJANDRO GUSTAVO BIGLIONE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 417
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34995-0417
Country	:	US
Telephone Number	:	772-223-2832
Fax Number	:	772-288-5834

Provider Business Practice Location Address
First Line	:	200 SE HOSPITAL AVE
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-2346
Country	:	US
Telephone Number	:	772-223-5618
Fax Number	:	772-288-5834

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	01/31/2019

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