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NPI Code Detail

MEDICARE: ALEJANDRA D SLOAN PA C

MEDICARE:   ALEJANDRA D SLOAN  PA C
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
1363A00000XPhysician AssistantPA9101286FL

Other Identifiers

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

General Provider Information

NPI Number : 1740272384
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA D SLOAN PA C
Provider Business Mailing Address
First Line : 70 W GORE ST
Second Line : SUITE 100
City : ORLANDO
State : FL
Zip : 32806-1124
Country : US
Telephone Number : 407-426-8484
Fax Number : 407-447-5508
Provider Business Practice Location Address
First Line : 70 W GORE ST
Second Line : SUITE 100
City : ORLANDO
State : FL
Zip : 32806-1124
Country : US
Telephone Number : 407-426-8484
Fax Number : 407-447-5508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 09/23/2008

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Directions to “ ALEJANDRA D SLOAN PA C” Practice Location

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