Acosta-Fajardo, Alessandro L
Acosta-Fajardo, Alessandro L is an individual health care provider with primary practice located at 1317 W Point Dr , Cocoa FL 32922-6464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Acosta-Fajardo, Alessandro L can be contacted via phone (321) 636-2621.Contact Information
Primary practice address
1317 W Point Dr
Cocoa FL 32922-6464
Phone: (321) 636-2621
Fax: (321) 631-9436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0045737 | Florida |
Profile Details
| NPI number | 1437122165 |
|---|---|
| LBN Legal business name | Acosta-Fajardo, Alessandro L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 15th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437122165 | NPPES |
| Florida | MEDICAID | 003142500 |
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