Justicz, Alexander G
Justicz, Alexander G is an individual health care provider with primary practice located at 4725 N Federal Hwy , Fort Lauderdale FL 33308-4603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Justicz, Alexander G can be contacted via phone (954) 267-6770.Contact Information
Primary practice address
4725 N Federal Hwy
Fort Lauderdale FL 33308-4603
Phone: (954) 267-6770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 031040 | Georgia |
Profile Details
| NPI number | 1265497473 |
|---|---|
| LBN Legal business name | Justicz, Alexander G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Apr 3rd, 2024 - about 5 months 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 | 1265497473 | NPPES |
| Georgia | Other | 572542 | BCBS EDI |
| Georgia | MEDICAID | 00661548A | BCBS EDI |
| Georgia | Other | 330003473 | BCBS EDI |
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