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
Fax: (321) 631-9436
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437122165 NPPES
Florida MEDICAID 003142500

Popular Providers