Dejesus, Alexander

Dejesus, Alexander is an sole proprietor health care provider with primary practice located at 6400 Edgelake Dr , Sarasota FL 34240-8813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Dejesus, Alexander can be contacted via phone (941) 921-8645.

Contact Information

Primary practice address
6400 Edgelake Dr Sarasota FL 34240-8813
Phone: (941) 921-8645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME0077137 Florida

Profile Details

NPI number 1184772667
LBN Legal business name Dejesus, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 14th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184772667 NPPES
Florida Other 250011263 RR MEDICARE
Florida MEDICAID 258701700 RR MEDICARE
Florida Other 44664 RR MEDICARE

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